Individual
LACEY NICOLE MADDREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
4400 IOWA AVE NW, WASHINGTON, DC 20011-5604
(202) 340-6458
Mailing address
3100 CONNECTICUT AVE NW APT 130, WASHINGTON, DC 20008-5100
(919) 408-1525
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG50078831
DC
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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