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1912331372
GWEN NORMAND MADDOX
PINEVILLE, LA
NPI
1912331372
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 4298)
Enumeration Date
2013-08-21
Last Update Date
2017-02-06
Business Address
Mrs. GWEN NORMAND MADDOX LCSW
2495 SHREVEPORT HWY
PINEVILLE, LA 71360-4044
Phone number: 318-473-0010
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Mailing Address
Mrs. GWEN NORMAND MADDOX LCSW
2495 SHREVEPORT HWY
PINEVILLE, LA 71360-4044
Phone number: 318-473-0010
Copy
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