Individual
NICKOLETTE MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 GEORGE ST, BECKLEY, WV 25801-2648
(304) 929-2670
Mailing address
218 SMOOT AVE, BECKLEY, WV 25801-6850
(681) 220-6350
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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