Individual
MADISON MARIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 BANK AVE, RIVERTON, NJ 08077-1113
(856) 829-2274
Mailing address
29 NASTURTIUM LN, LEVITTOWN, PA 19054-3801
(267) 316-8164
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-3905
NJ
Other
Enumeration date
08/07/2022
Last updated
08/07/2022
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