Madison Charlie Amy

NPI #1336005917 in Lake Orion, Michigan

Provider Information

NPI Number
1336005917
Entity Type
Individual
Name
Madison Charlie Amy
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Dec 29, 2025
Last Updated
Dec 29, 2025

Practice Location

Address
1236 S LAPEER RD
ZIP Code
48360-1433
Phone
(248) 929-9220

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