Individual
MADISON ROLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
526 BOLL WEEVIL CIR, ENTERPRISE, AL 36330-4012
(334) 596-0953
Mailing address
526 BOLL WEEVIL CIR, ENTERPRISE, AL 36330-4012
(334) 596-0953
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ6582
FL
Other
Enumeration date
02/21/2014
Last updated
01/25/2017
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