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CONNIE NEAL

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1205429370

Individual Registrant:
 CONNIE  NEAL 
Gender: F
Sole Proprietor

Location and contact information for practice:
157 DINK RD  IVYDALE, WV 25113-8156 US
Tel: 304-286-3818  Fax: --

Contact information for business:
157 DINK RD  IVYDALE, WV 25113-8156 US
Tel: --  Fax: --

Registration Information:
NPI: 1205429370
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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