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Individual

JOANN MADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2638 TWO NOTCH RD, SUITE 110, COLUMBIA, SC 29204-1432
(803) 256-2500
(803) 758-1726
Mailing address
2638 TWO NOTCH RD, SUITE 110, COLUMBIA, SC 29204-1432
(803) 256-2500
(803) 758-1726

Taxonomy

Speciality
Code
Description
License number
State
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Primary
3159
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP1244
SC
Enumeration date
06/09/2008
Last updated
08/03/2010
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