MRS. Michelle Madison, LCSW

NPI #1215218615 in Amityville, New York

Provider Information

NPI Number
1215218615
Entity Type
Individual
Name
MRS. Michelle Madison, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Aug 30, 2011
Last Updated
Jun 9, 2015

Practice Location

Address
191 BROADWAY
ZIP Code
11701-2790
Phone
(631) 264-0058

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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