Individual
MARY MADDOCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
561 N 15TH ST, ROOM 171A, MILWAUKEE, WI 53233-2237
(414) 288-4556
Mailing address
4555 W SCHROEDER DR, SUITE 170, MILWAUKEE, WI 53223-1475
(414) 365-3210
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4247-125
WI
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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