Individual
MRS. ABBYE MARYE JUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-S
Contact information
Practice address
506 HOLLY AVE, LOGAN, WV 25601-3306
(304) 792-2073
Mailing address
506 HOLLY AVE, LOGAN, WV 25601-3306
(304) 855-5265
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12137816
WV
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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