| NPI | 1437412376 |
|---|---|
| Former Name | LAURA ALLISON MADDUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 6206 (LCSW)) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN LSW8488) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2019-10-31 |