Individual
MISS GWEN ELLEN MADDIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3436 W MALAPAI, PHX, AZ 85051
(602) 570-5742
Mailing address
4232 W WALTANN LN, PHOENIX, AZ 85053-3772
(602) 570-5742
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
11/19/2025
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