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Individual
MRS. BENITA EILEEN MADISON
Active
Individual
MRS. BENITA EILEEN MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202379
TX
106H00000X
Marriage & Family Therapist
867
OK
106H00000X
Marriage & Family Therapist
L 304
AL
Other
Enumeration date
02/22/2010
Last updated
03/15/2022
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