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Contact Information

MIRANDA RADABAUGH, BA
425 JULIANA ST
PARKERSBURG, WV26101-5352
 Phone: 304-893-9777
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MIRANDA RADABAUGH · (Female)

NPI # 1790529311
Status Active
Credentials BA
Entity Individual
Enumeration date 06/19/2024
Last updated 06/19/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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