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1992351993
MADISON PROCTOR
GRAND RAPIDS, MI
NPI
1992351993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
101Y00000X Counselor
106S00000X Behavior Technician
Enumeration Date
2019-08-15
Last Update Date
2024-06-27
Business Address
MADISON PROCTOR
120 STEVENS ST SW
GRAND RAPIDS, MI 49507-1526
Phone number: 616-469-3870
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Mailing Address
MADISON PROCTOR
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number: 586-995-6658
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