Individual
MR. CEDRIC A MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
107 E CHURCH AVE, LONGWOOD, FL 32750-4201
(407) 739-7603
Mailing address
365 FORESTWAY CIR UNIT 103, ALTAMONTE SPRINGS, FL 32701-5804
(407) 739-7603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 5896
FL
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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