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Individual
MADISON RYAN
Active
Individual
MADISON RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
100885
IA
235Z00000X
Speech-Language Pathologist
Primary
5064-154
WI
Other
Enumeration date
07/24/2020
Last updated
11/10/2022
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