BENJAMIN MADDOCK

BLOOMINGTON, IN
NPI1821796368
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2023-02-22
Last Update Date2023-02-22
Business Address
BENJAMIN MADDOCK
1117 N JACKSON ST
BLOOMINGTON, IN 47404-3385
Phone number: 812-322-2817
Mailing Address
BENJAMIN MADDOCK
800 N SMITH RD APT 7B
BLOOMINGTON, IN 47408-2934
Phone number: 812-322-2817
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