SUSAN RENNAE KIRKENDALL

BRIDGEPORT, WV
NPI1760967400
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WV  98-302)
Enumeration Date2018-09-28
Last Update Date2018-09-28
Business Address
Ms. SUSAN RENNAE KIRKENDALL MS,AADC
527 MEDICAL PARK DR
BRIDGEPORT, WV 26330-9008
Phone number: 304-933-3884
Mailing Address
Ms. SUSAN RENNAE KIRKENDALL MS,AADC
1100 ANDREW DR
MORGANTOWN, WV 26508-6842
Phone number: 304-290-6533
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