Individual
MADISON M CLODFELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 ROLLING RIVER RD, LONGS, SC 29568-9498
(704) 550-8004
Mailing address
80 ROLLING RIVER RD, LONGS, SC 29568-9498
(704) 550-8004
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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