Individual
CASEY MADTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1261 COUNTY WELFARE RD, LEESPORT, PA 19533-9197
(610) 376-4841
Mailing address
3433 FAIRCHILD ST, ALBURTIS, PA 18011-2632
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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