Individual
DR. DANIKA MADDOCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
5250 GIRARD AVE S, MINNEAPOLIS, MN 55419-1117
(612) 712-3309
Mailing address
5250 GIRARD AVE S, MINNEAPOLIS, MN 55419-1117
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6621
MN
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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