Individual
ANNA MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 W WILLOW ST, LANSING, MI 48917-1833
(517) 323-4734
Mailing address
1805 MOORES RIVER DR, LANSING, MI 48910-1003
(616) 633-0630
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010984
MI
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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