Individual
MADELINE AUGUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
291 PLYMOUTH AVE S APT 6, ROCHESTER, NY 14608-2238
(585) 350-8769
Mailing address
291 PLYMOUTH AVE S APT 6, ROCHESTER, NY 14608-2238
(585) 350-8769
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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