Individual
MADISON RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED.
Contact information
Practice address
1928 S DAN JONES RD, AVON, IN 46123-6678
(317) 854-8265
Mailing address
2917 W COUNTY ROAD 1000 N, BRAZIL, IN 47834-7945
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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