Individual
ANGELA MADGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S., LEP, NCSP
Contact information
Practice address
525 MASSACHUSETTS AVE STE 101G, ACTON, MA 01720
(978) 795-4559
Mailing address
525 MASSACHUSETTS AVE STE 101G, ACTON, MA 01720-2963
(978) 795-4559
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
04/19/2018
Last updated
07/18/2018
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