Individual
ELIZABETH SUSAN MADDAFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
602 STRADA CIR STE 110, MANSFIELD, TX 76063-3201
(817) 842-9081
Mailing address
201 SILVER ROSE BLVD, BURLESON, TX 76028-2886
(817) 690-2842
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29770
TX
Other
Enumeration date
01/22/2008
Last updated
10/19/2011
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