ANTASIA MADDOX

YPSILANTI, MI
NPI1659088870
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: MI  6851104276)
Enumeration Date2022-10-28
Last Update Date2023-09-06
Business Address
ANTASIA MADDOX LLMSW
124 PEARL ST STE 503
YPSILANTI, MI 48197-2663
Phone number: 734-620-1936
Mailing Address
ANTASIA MADDOX LLMSW
124 PEARL ST STE 503
YPSILANTI, MI 48197-2663
Phone number: 734-620-1935