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Individual
MRS. MADISSON RENAE SPROUSE
Active
Individual
MRS. MADISSON RENAE SPROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW-LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2308707
OH
104100000X
Social Worker
SW082216357
WV
Other
Enumeration date
10/05/2022
Last updated
04/17/2025
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