Individual
MADISON JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA., CCC-SLP
Contact information
Practice address
108 W CRAIG ST, COLUMBIA, MO 65202-1400
(573) 442-6482
Mailing address
719 MIKEL ST, COLUMBIA, MO 65203-2450
(816) 682-5549
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2019023627
MO
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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