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1821681016
MARILYN MADDOX
CUMMING, GA
NPI
1821681016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA G0078)
Enumeration Date
2021-02-18
Last Update Date
2021-02-19
Business Address
MARILYN MADDOX GCADCI
380 DAHLONEGA ST STE 100
CUMMING, GA 30040-8219
Phone number: 678-771-8468
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Mailing Address
MARILYN MADDOX GCADCI
380 DAHLONEGA ST STE 100
CUMMING, GA 30040-8219
Phone number: 678-771-8468
Copy
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