Individual
MISS ALLIYSON MARIE MADURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CCC/L
Contact information
Practice address
604 W WASHINGTON ST, BRADFORD, PA 16701-2646
(814) 598-4519
Mailing address
604 W WASHINGTON ST, BRADFORD, PA 16701-2646
(814) 598-4519
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012465
PA
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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