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Individual
JAZMINE MADDOX
Active
Individual
JAZMINE MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103505
TX
1041C0700X
Clinical Social Worker
96798
CA
1041C0700X
Clinical Social Worker
Q1-0001759
DE
Other
Enumeration date
11/08/2017
Last updated
02/28/2022
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