Individual
MS. MADELYN DAVIDIAK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.M.S.W.
Contact information
Practice address
505 W GRAND AVE, HOT SPRINGS, AR 71901-3931
(501) 620-5318
(501) 620-5112
Mailing address
PO BOX 6399, HOT SPRINGS, AR 71902-6399
(501) 620-5318
(501) 620-5112
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
875-M
AR
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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