Individual
MADISON CELIA AUGUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 N HANCOCK ST, PHILADELPHIA, PA 19123-2334
(610) 945-7909
Mailing address
214 S 43RD ST APT 2F, PHILADELPHIA, PA 19104-2955
(610) 945-7909
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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