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Individual

MARILYN MADDOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
GCADCI

Contact information

Practice address
380 DAHLONEGA ST STE 100, CUMMING, GA 30040-8219
(678) 771-8468
Mailing address
380 DAHLONEGA ST STE 100, CUMMING, GA 30040-8219
(678) 771-8468

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
G0078
GA

Other

Enumeration date
02/18/2021
Last updated
02/19/2021
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