Gwendolyn Nicole Bausley
NPI #1295492973 in Cross Lanes, West Virginia
Provider Information
- NPI Number
- 1295492973
- Entity Type
- Individual
- Name
- Gwendolyn Nicole Bausley
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Nov 17, 2021
- Last Updated
- Sep 21, 2022
Practice Location
- Address
- 5235 BRACKENRICH DR
- City
- Cross Lanes
- State
- West Virginia
- ZIP Code
- 25313-1639
- Phone
- (304) 419-4450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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