Individual
MADISON DEFFENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 S 5TH AVE, PRINCETON, IN 47670-3519
(812) 385-5275
Mailing address
415 MULBERRY ST, EVANSVILLE, IN 47713-1230
(812) 436-4306
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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