| NPI | 1114642857 |
|---|---|
| Former Name | MADISSON RENAE PERDUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2308707) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV SW082216357) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2025-04-17 |