Individual
MRS. JENNIFER DAWN MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
495 UINTA WAY, SUITE 120, DENVER, CO 80230-7110
(303) 344-4100
(303) 484-3575
Mailing address
2575 DEXTER ST, DENVER, CO 80207-3152
(303) 748-5597
(303) 484-3575
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10352
CO
104100000X
Social Worker
Primary
427
CO
Other
Enumeration date
08/04/2008
Last updated
01/06/2010
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