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MELISSA COTTRELL

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1770176752

Individual Registrant:
 MELISSA  COTTRELL 
Gender: F
Sole Proprietor

Location and contact information for practice:
3692 BIG OTTER HWY  IVYDALE, WV 25113-8222 US
Tel: 304-880-6718  Fax: --

Contact information for business:
3692 BIG OTTER HWY  IVYDALE, WV 25113-8222 US
Tel: 304-880-6718  Fax: --

Registration Information:
NPI: 1770176752
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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