Individual
MADDUX REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5010 N STONE MILL RD STE B, BLOOMINGTON, IN 47408-9320
(812) 929-2193
Mailing address
5010 N STONE MILL RD STE B, BLOOMINGTON, IN 47408-9320
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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