Individual provider · NPI-1
Madison Groene, MGC
Genetic Counselor, MS · Montgomery, OH
NPI number1649893504
StatusActive
Last updated in NPPESJun 21, 2023
Details
- NPI
- 1649893504
- Entity type
- Individual (NPI-1)
- Name
- Madison Groene
- Credential
- MGC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 26, 2020
- Certification date
- Jun 21, 2023
- Last updated
- Jun 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 170300000X | Genetic Counselor, MS | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
10506a Montgomery RdMontgomery, OH 45242-4402
Phone 513-865-5969
Mailing address
10506a Montgomery RdMontgomery, OH 45242-4402
Phone 513-865-5969
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