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1386942688
KELLI HILLIARD MADDOX
LAKE CHARLES, LA
NPI
1386942688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 9060)
Enumeration Date
2011-03-10
Last Update Date
2011-03-10
Business Address
-- KELLI HILLIARD MADDOX LCSW
4105 KIRKMAN ST
LAKE CHARLES, LA 70607-4603
Phone number: 337-475-8022
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Mailing Address
-- KELLI HILLIARD MADDOX LCSW
4105 KIRKMAN ST
LAKE CHARLES, LA 70607-4603
Phone number:
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