Madissen Fretwell
NPI #1578319125 in Grantsville, Utah
Provider Information
- NPI Number
- 1578319125
- Entity Type
- Individual
- Name
- Madissen Fretwell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Apr 25, 2024
- Last Updated
- Apr 25, 2024
Practice Location
- Address
- 512 S SHEEP LN
- City
- Grantsville
- State
- Utah
- ZIP Code
- 84074-8270
- Phone
- (801) 935-4171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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