Maude Maddy

NPI #1801489802 in Cool Ridge, West Virginia

Provider Information

NPI Number: 1801489802
Entity Type: Individual
Name: Maude Maddy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Feb 19, 2021
Last Updated: Feb 19, 2021

Practice Location

Address: 868 JOHN LANE RD
City: Cool Ridge
State: West Virginia
ZIP Code: 25825-9538
Phone: (304) 787-3913

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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