Individual
MS. JEAN C. MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 S ALMA SCHOOL RD STE 109, MESA, AZ 85210-2078
(480) 464-3703
(480) 827-1551
Mailing address
1220 S ALMA SCHOOL RD STE 109, MESA, AZ 85210-2078
(480) 464-3703
(480) 827-1551
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-10495
AZ
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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