Individual
LA'TAIJA MONAE MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1001 S BRADFORD ST STE 3, DOVER, DE 19904-4153
(302) 401-1255
Mailing address
1001 S BRADFORD ST STE 3, DOVER, DE 19904-4153
(302) 519-2936
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
Q1-0012929
DE
1041C0700X
Clinical Social Worker
Primary
—
DE
Other
Enumeration date
02/26/2021
Last updated
04/11/2026
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