Individual
MAUREEN E DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 JOHN NORMAN ST, CHARLESTON, WV 25301-1257
(304) 539-4520
Mailing address
707 FOREST CIR, SOUTH CHARLESTON, WV 25303-2612
(304) 539-4520
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2572
WV
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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