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1306054937
KIMBERLY MEADE
BEAVER, WV
NPI
1306054937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
-- KIMBERLY MEADE BS
175 PHILPOT LANE
BEAVER, WV 25813
Phone number: 304-254-9262
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Mailing Address
-- KIMBERLY MEADE BS
107 LAUREL TER
BECKLEY, WV 25801-6508
Phone number: 304-890-6202
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