Individual
MADILYN ELIZABETH HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCGC
Contact information
Practice address
912 VENTURA DR, TACOMA, WA 98465-1111
(989) 619-1564
Mailing address
912 VENTURA DR, TACOMA, WA 98465-1111
(989) 619-1564
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GT61495152
WA
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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