Individual
HEATHER NICOLE BUMGARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 BB WAY, HURRICANE, WV 25526-1094
(304) 919-5889
Mailing address
90 BB WAY, HURRICANE, WV 25526-1094
(304) 919-5889
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW032216166
WV
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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