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1073281804
ENRICKA VICTORIA MADDOX
CONYERS, GA
NPI
1073281804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC008094)
Enumeration Date
2021-09-07
Last Update Date
2021-09-07
Business Address
ENRICKA VICTORIA MADDOX LPC
1500 KLONDIKE RD SW STE A103
CONYERS, GA 30094-5115
Phone number: 770-609-1936
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Mailing Address
ENRICKA VICTORIA MADDOX LPC
45 TABOR TRCE
OXFORD, GA 30054-4049
Phone number: 404-453-3680
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