Organization
WILLIAM B. MADDOX PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BRAD MADDOX LPC (PRESIDENT)
(479) 970-5097
Entity
Organization
Contact information
Practice address
910 S ROGERS ST STE D, CLARKSVILLE, AR 72830-4331
(479) 335-5747
(479) 957-9083
Mailing address
910 S ROGERS ST STE D, CLARKSVILLE, AR 72830-4331
(479) 335-5747
(479) 957-9083
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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