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1215218615
MICHELLE MADISON
AMITYVILLE, NY
NPI
1215218615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 083215-1)
Enumeration Date
2011-08-30
Last Update Date
2015-06-09
Business Address
Mrs. MICHELLE MADISON LCSW
191 BROADWAY
AMITYVILLE, NY 11701-2790
Phone number: 631-264-0058
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Mailing Address
Mrs. MICHELLE MADISON LCSW
191 BROADWAY
AMITYVILLE, NY 11701
Phone number: 516-264-0058
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