Individual
MS. MADISON ELISE WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6131 AVERY DR APT 8202, FORT WORTH, TX 76132-5325
(817) 894-3474
Mailing address
6131 AVERY DR APT 8202, FORT WORTH, TX 76132-5325
(817) 894-3474
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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