Individual
MADISON DEMUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 N. DELAWARE AVE, PHILADELPHIA, PA 19125
(484) 459-7529
Mailing address
4611 SMICK ST, PHILADELPHIA, PA 19127-1111
(484) 614-8626
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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