Individual
MADISON MEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(678) 469-6150
Mailing address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC008829
GA
106S00000X
Behavior Technician
—
GA
Other
Enumeration date
08/17/2020
Last updated
04/24/2024
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