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1821597204
TEKISHA DEHAVEN WADDELL
CLARKSBURG, WV
NPI
1821597204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2018-02-12
Last Update Date
2018-02-12
Business Address
TEKISHA DEHAVEN WADDELL
3 HOSPITAL PLZ
CLARKSBURG, WV 26301-9316
Phone number: 304-969-3100
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Mailing Address
TEKISHA DEHAVEN WADDELL
52 RIVERBEND APARTMENTS RD
CLARKSBURG, WV 26301-4152
Phone number:
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