Individual
MADISON STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
570 E GREENWOOD AVE, MIDVALE, UT 84047-2745
(385) 444-5450
Mailing address
570 E GREENWOOD AVE, MIDVALE, UT 84047-2745
(385) 444-5450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11883739
UT
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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