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Individual

MRS. BENITA EILEEN MADISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
14 MEADOWVIEW CIR, SELMA, AL 36701-6925
(334) 328-1930
Mailing address
14 MEADOWVIEW CIR, SELMA, AL 36701-6925
(334) 328-1930

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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