Individual
MRS. ADRIENE MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
175 N GROESBECK HWY UNIT 175-F, MOUNT CLEMENS, MI 48043-1562
(586) 627-0024
Mailing address
24644 MABRAY AVE, EASTPOINTE, MI 48021-1481
(313) 909-4845
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
MI
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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