Individual
SERENA N HARTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 6TH AVE W, HUNTINGTON, WV 25701-0028
(304) 525-8014
Mailing address
10 6TH AVE W, HUNTINGTON, WV 25701-0028
(304) 525-8014
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-458252
WV
3747P1801X
Personal Care Attendant
—
WV
Other
Enumeration date
06/27/2025
Last updated
07/30/2025
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