Individual
HEATHER DAWN MADDUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4601 E DOUGLAS AVE STE 200, WICHITA, KS 67218-1032
(316) 300-1464
Mailing address
13918 E 79TH ST S, DERBY, KS 67037-9633
(316) 300-1464
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6288
KS
Other
Enumeration date
04/08/2024
Last updated
10/16/2025
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