Individual
ANDREA MAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 KAUFMAN DR, FAIRMONT, WV 26554-2179
(304) 363-4891
Mailing address
RR 1 BOX 457, GRAFTON, WV 26354-9772
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0773
WV
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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