Individual
MADISON SCOTT CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1130 SENOIA RD STE A1, TYRONE, GA 30290-1640
(678) 632-6765
Mailing address
60 11TH ST NE APT 1618, ATLANTA, GA 30309-4380
(908) 489-5746
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP01135
GA
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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