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1104098987
JEANETTA RENA MADDOX
ATHENS, AL
NPI
1104098987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-04-01
Last Update Date
2019-07-16
Business Address
JEANETTA RENA MADDOX M.S.W.
1307 E ELM ST
ATHENS, AL 35611-5318
Phone number: 256-232-3661
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Mailing Address
JEANETTA RENA MADDOX M.S.W.
1316 SOMERVILLE RD SE STE 1
DECATUR, AL 35601-4309
Phone number: 256-260-7361
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