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Individual

ANNIE LAURIE MADDOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3222 CORRINE DR, ORLANDO, FL 32803-2217
(407) 462-0845
Mailing address
121 E STEELE ST, ORLANDO, FL 32804-3908
(321) 765-3102

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW5208
FL

Other

Enumeration date
09/23/2008
Last updated
10/06/2015
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