NPI | 1003160912 |
---|---|
Professional Name | G. DIALLO MADISON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 6230) |
Enumeration Date | 2012-10-30 |
Last Update Date | 2023-06-12 |