Individual
DR. KATHERINE LISKO MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 WARD DR, DYERSBURG, TN 38024-2242
(870) 761-4092
Mailing address
2720 WARD DR, DYERSBURG, TN 38024-2242
(870) 761-4092
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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