Individual
MADISON FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
104 NE 72ND ST STE G, GLADSTONE, MO 64118-1830
(816) 508-1600
Mailing address
104 NE 72ND ST STE G, GLADSTONE, MO 64118-1830
(816) 508-1600
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2023032880
MO
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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