Individual
MAUDE MADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
868 JOHN LANE RD, COOL RIDGE, WV 25825-9538
(304) 787-3913
Mailing address
868 JOHN LANE RD, COOL RIDGE, WV 25825-9538
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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