Individual
MR. CHARLES EDWARD MADISON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLBSW
Contact information
Practice address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
(313) 365-3100
(313) 365-3101
Mailing address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
(313) 365-3100
(313) 365-3101
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6852094022
MI
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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