Individual
FELISSA MACHELL MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4239 ROAD TO THE MALL, NORTH RICHLAND HILLS, TX 76180-8305
(817) 569-5815
Mailing address
4239 ROAD TO THE MALL, NORTH RICHLAND HILLS, TX 76180-8305
(817) 569-5815
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
54672
TX
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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