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1114225620
DEBRA MADDOX LAURIE
FULTON, MO
NPI
1114225620
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Former Name
DEBRA MADDOX KIRCHHOF
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 004033)
Enumeration Date
2011-03-08
Last Update Date
2018-12-03
Business Address
DEBRA MADDOX LAURIE LCSW
500 MARKET ST STE 101
FULTON, MO 65251-2808
Phone number: 573-246-6000
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Mailing Address
DEBRA MADDOX LAURIE LCSW
500 MARKET ST STE 101
FULTON, MO 65251-2808
Phone number: 573-246-6000
Copy
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