PAMELLA R MADRON

RICHMOND, IN
NPI1447525027
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  87001159A)
Enumeration Date2012-03-15
Last Update Date2012-03-15
Business Address
-- PAMELLA R MADRON LCAC
16 SW 5TH ST
RICHMOND, IN 47374-4101
Phone number: 765-288-1928
Mailing Address
-- PAMELLA R MADRON LCAC
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
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