Individual
MS. FELICIA R. MADLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
10336 S WESTERN AVE STE 1, CHICAGO, IL 60643-2411
(773) 369-6545
(708) 260-0466
Mailing address
430 E 162ND ST # 109, SOUTH HOLLAND, IL 60473-2258
(773) 369-6545
(708) 260-0466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149013410
IL
Other
Enumeration date
10/05/2009
Last updated
03/19/2012
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