Individual
MIRANDA BETH TALKINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 FAIRMONT AVE, FAIRMONT, WV 26554-2710
(681) 404-6869
Mailing address
PO BOX 709, REEDSVILLE, WV 26547-0709
(304) 626-5122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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