Individual
MS. CHERYL HARMON MADDUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1606 PHYSICIANS DR, SUITE 104, WILMINGTON, NC 28401-7361
(910) 343-6890
(910) 332-1233
Mailing address
34 CENTRAL BLVD, WILMINGTON, NC 28401-6945
(910) 471-6516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004823
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0238M
BCBS
—
05
—
6005107
—
NC
01
—
B0318
MEDCOST
—
Enumeration date
08/24/2005
Last updated
07/20/2012
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