Individual
MADISON OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 N MOUNT JULIET RD, MT JULIET, TN 37122-3315
(615) 560-6622
Mailing address
385 S PALMERS CHAPEL RD, COTTONTOWN, TN 37048-5106
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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