Individual
EILEEN MADELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 WEST STREET, TONGANOXIE, KS 66086-0252
(913) 417-7061
Mailing address
PO BOX 252, TONGANOXIE, KS 66086-0252
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/16/2008
Last updated
12/02/2010
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