Individual
MRS. TAMMI SUE MADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
232 REGENT ST, GLEN ELLYN, IL 60137-5318
(630) 469-4108
Mailing address
232 REGENT ST, GLEN ELLYN, IL 60137-5318
(630) 469-4108
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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