Individual
WIILAM J MADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CACIII
Contact information
Practice address
990 BANNOCK ST, MC 7782, DENVER, CO 80204-4028
(720) 956-2394
(720) 956-2533
Mailing address
990 BANNOCK ST, MC 7782, DENVER, CO 80204-4028
(303) 436-3563
(303) 436-3500
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
ACC-634
CO
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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