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Tammy Marie Church, PRSS

Peer Specialist in New Martinsville, WV. Individual provider (NPI-1).

NPI number1972480929
StatusActive
Last updated in NPPESAug 20, 2025

Details

NPI
1972480929
Entity type
Individual (NPI-1)
Name
Tammy Marie Church
Credential
PRSS
Sex
Female
Sole proprietor
No
Enumeration date
Aug 20, 2025
Certification date
Aug 20, 2025
Last updated
Aug 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

747 2nd St
New Martinsville, WV 26155-1432

Phone 304-305-0651

Mailing address

747 2nd St
New Martinsville, WV 26155-1432

Phone 304-305-0651

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