Individual
JENNIFER L MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6910 LYLE RD, HOLCOMB, KS 67851-9041
(620) 521-3712
Mailing address
6910 LYLE RD, HOLCOMB, KS 67851-9041
(620) 521-3712
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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