Individual
MADONNA MILLETT
Active
Individual
MADONNA MILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1142
KY
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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