Individual
MADISON ANDREA HASRRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4664 LARWELL DR, COLUMBUS, OH 43220-3621
(614) 487-7805
(614) 487-7809
Mailing address
5985 SCARLET OAK CT, GALLOWAY, OH 43119-9317
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
OH
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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