Individual
MISS MADISON N WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30000 HIVELEY ST, INKSTER, MI 48141-1089
(734) 728-3400
Mailing address
30000 HIVELEY ST, INKSTER, MI 48141-1089
(734) 728-3400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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