NPI | 1295260537 |
---|---|
Other Name | GINGER Y MADDUX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8414) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2017-04-24 |
Last Update Date | 2024-01-23 |