Individual
RONNI KRYSTAL MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442
(757) 232-5586
Mailing address
P 36 1ST WEST, WATERTOWN, NY 13602
(315) 772-0215
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4819
KS
1041C0700X
Clinical Social Worker
4819
KS
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/07/2013
Last updated
06/12/2025
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