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Individual

MS. LESLIE L MADOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CAADC

Contact information

Practice address
315 OLD LANDING RD, MILLSBORO, DE 19966
(302) 947-1920
Mailing address
220 E MAIN ST, A, SALISBURY, MD 21801-5044
(410) 860-9600

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1678
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1978
DE
Enumeration date
12/29/2011
Last updated
08/29/2018
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