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1003259193
TRACY MADDOX
LANSING, MI
NPI
1003259193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 68030385984)
Enumeration Date
2013-04-09
Last Update Date
2013-04-09
Business Address
-- TRACY MADDOX
5303 S CEDAR ST
LANSING, MI 48911-3800
Phone number: 517-346-8017
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Mailing Address
-- TRACY MADDOX
812 E JOLLY RD SUITE 210
LANSING, MI 48910-6818
Phone number: 517-346-8200
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