Individual
MADISON M WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7068 S OUTER 364, O FALLON, MO 63368-7757
(636) 240-6100
Mailing address
3008 CONCORD LN, WADSWORTH, IL 60083-8941
(630) 843-1810
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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