Individual
HANNAH MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11 GETTY AVE, PATERSON, NJ 07503
(973) 247-1666
Mailing address
15 BERNICE PL FL 2, LODI, NJ 07644-1602
(646) 270-7234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06053700
NJ
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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