Linda Mae Madison CAC-1, CCJP

NPI 1184846347 - Counselor - 101YA0400X

NPI Details
NPI 1184846347
Gender Female
Enumeration Date 05/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
DETROIT MI, 48202-1424, US
Phone (313) 883-7693
Fax (313) 883-3957
Business Location
DETROIT MI, 48219-3549, US
Phone (313) 534-0404
Taxonomy Code 101YA0400X
License State Michigan
License Number 1-02374
Remove 1184846347 NPI Number

According to our database, Ms. Linda Mae Madison CAC-1, CCJP NPI is 1184846347, taxonomy code is 101YA0400X and license number is 1-02374, license state is located at Michigan. Linda Mae Madison CAC-1, CCJP physically located at 9851 Hamilton Ave, Detroit MI, 48202-1424. NPI Number Linda Mae Madison CAC-1, CCJP has the Individual type.

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1184846347 NPI number is provided on an as is basis without warranty of any kind. 1184846347 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Mae Madison CAC-1, CCJP are for informational purposes only.