Individual
MADISON M WEEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
(267) 807-0550
Mailing address
1305 N LAWRENCE ST APT 8, PHILADELPHIA, PA 19122-4435
(609) 276-7333
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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