Individual
JESSICA MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1017 FAYETTEVILLE RD SE, SUITE B, ATLANTA, GA 30316-2932
(404) 486-9034
Mailing address
1017 FAYETTEVILLE RD SE, SUITE B, ATLANTA, GA 30316-2932
(404) 486-9034
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW006520
GA
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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