Individual
MADISON BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5100 MARNA LYNN AVE NW, ALBUQUERQUE, NM 87114-5701
(505) 573-7123
Mailing address
2312 MORROW RD NE, ALBUQUERQUE, NM 87106-2518
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF6982
NM
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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