Individual
MRS. REBECCA LYNN MADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6331 VV RD, PRAIRIE DU ROCHER, IL 62277-1411
(618) 304-3520
Mailing address
6331 VV RD, PRAIRIE DU ROCHER, IL 62277-1411
(618) 304-3520
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
RM99190620P
IL
Other
Enumeration date
09/25/2019
Last updated
11/01/2021
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