Madison Lea Worchester

NPI #1457990640 in Kingston, Oklahoma

Provider Information

NPI Number
1457990640
Entity Type
Individual
Name
Madison Lea Worchester
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Jan 6, 2020
Last Updated
Jan 6, 2020

Practice Location

Address
9942B DEBORAH LN
ZIP Code
73439-3905
Phone
(580) 565-2651

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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