Individual
MRS. AMY DIANE MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10419 CALUMET AVE STE B, MUNSTER, IN 46321-4059
Mailing address
3322 GRAND BLVD, HIGHLAND, IN 46322-1356
(219) 680-9516
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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