Mariah Sides
Mariah Sides is a Case Manager/Care Coordinator in Bridgeport, West Virginia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1400 Johnson Ave Ste 2ABridgeport, WV 26330-1063
Phone: (304) 842-9054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1942896873 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 15, 2020 |
| Last updated in NPPES | December 15, 2020 |
| Certification date | December 15, 2020 |
| Mailing address | 1400 Johnson Ave Ste 2a, Bridgeport, WV 26330-1063 |
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