Individual
ERICA LYNNE MADGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CAADC
Contact information
Practice address
424 BONNIE LN, LANSDALE, PA 19446-1549
(484) 424-7241
Mailing address
424 BONNIE LN, LANSDALE, PA 19446-1549
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC012278
PA
Other
Enumeration date
03/25/2020
Last updated
05/12/2020
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