Tracy Maddox

NPI #1003259193 in Lansing, Michigan

Provider Information

NPI Number: 1003259193
Entity Type: Individual
Name: Tracy Maddox
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Apr 9, 2013
Last Updated: Apr 9, 2013

Practice Location

Address: 5303 S CEDAR ST
City: Lansing
State: Michigan
ZIP Code: 48911-3800
Phone: (517) 346-8017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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