Individual
MADISON MARIE HASKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
125 OVERHILL DR STE 105, MOORESVILLE, NC 28117-8232
(704) 962-8919
Mailing address
118 FARMERS FOLLY DR, MOORESVILLE, NC 28117-8572
(704) 962-8919
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2016
NC
Other
Enumeration date
11/09/2016
Last updated
07/14/2020
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