Individual
ANTASIA MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-C
Contact information
Practice address
124 PEARL ST STE 503, YPSILANTI, MI 48197-2663
(734) 620-1936
Mailing address
124 PEARL ST STE 503, YPSILANTI, MI 48197-2663
(734) 620-1935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801121406
MI
Other
Enumeration date
10/28/2022
Last updated
12/11/2025
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