Organization
THE MADISON CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY A DOLLIFF (PRESIDENT)
(952) 401-4242
Entity
Organization
Contact information
Practice address
464 2ND ST STE 106, EXCELSIOR, MN 55331-2108
(952) 401-4242
(952) 401-4285
Mailing address
4200 MOUNT CURV, EXCELSIOR, MN 55331-9262
(952) 401-4242
(952) 401-4285
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
01/29/2010
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