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Individual
MADDISON L MILES
Active
Individual
MADDISON L MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISWS, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CDCA.169118
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.162841
OH
1041C0700X
Clinical Social Worker
I.2506367
OH
171M00000X
Case Manager/Care Coordinator
I.2506367
OH
172V00000X
Community Health Worker
I.2506367
OH
Other
Enumeration date
05/15/2018
Last updated
09/11/2026
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