Individual
DWANLA SMITH MADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
757 24TH ST NW, FAYETTE, AL 35555-1067
(205) 270-0944
Mailing address
757 24TH ST NW, FAYETTE, AL 35555-1067
(205) 270-0944
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6131C
AL
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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