Individual
MADISON GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 W ELM AVE, MONROE, MI 48162-7909
(734) 241-3660
Mailing address
7740 INDIAN RD, TEMPERANCE, MI 48182-1519
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005853
MI
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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