Individual
RYAN MICHAEL MADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
1831 2ND ST NE UNIT 407, WASHINGTON, DC 20002-1596
(724) 518-1312
Mailing address
1831 2ND ST NE UNIT 407, WASHINGTON, DC 20002-1596
(724) 518-1312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50079172
DC
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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