Individual
LANETTE MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1244 HARTING DR, FLORISSANT, MO 63031-1971
(314) 680-0218
(314) 839-5978
Mailing address
1244 HARTING DR, FLORISSANT, MO 63031-1971
(314) 680-0218
(314) 839-5978
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW005906
MO
Other
Enumeration date
06/29/2007
Last updated
07/09/2007
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