MICHELLE MADISON

AMITYVILLE, NY
NPI1215218615
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  083215-1)
Enumeration Date2011-08-30
Last Update Date2015-06-09
Business Address
Mrs. MICHELLE MADISON LCSW
191 BROADWAY
AMITYVILLE, NY 11701-2790
Phone number: 631-264-0058
Mailing Address
Mrs. MICHELLE MADISON LCSW
191 BROADWAY
AMITYVILLE, NY 11701
Phone number: 516-264-0058