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1609366400
NATHANEAL A MADDOX
STOCKBRIDGE, GA
NPI
1609366400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: GA MSW008273)
Enumeration Date
2018-05-16
Last Update Date
2018-05-16
Business Address
NATHANEAL A MADDOX
301 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281-7350
Phone number: 678-948-7476
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Mailing Address
NATHANEAL A MADDOX
159 BURKE ST STE 201
STOCKBRIDGE, GA 30281-3410
Phone number: 678-948-7476
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