Individual
AMBER MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4306 S GRAND ST, MONROE, LA 71202-6322
(318) 324-5441
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(318) 324-5441
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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