Ebbie Larhonda Maddox, LMSW
NPI #1134681836 in Gautier, Mississippi
Provider Information
- NPI Number
- 1134681836
- Entity Type
- Individual
- Name
- Ebbie Larhonda Maddox, LMSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- LMSW
- Enumeration Date
- Apr 2, 2019
- Last Updated
- Apr 2, 2019
Practice Location
- Address
- 3407 SHAMROCK CT
- City
- Gautier
- State
- Mississippi
- ZIP Code
- 39553-5337
- Phone
- (228) 209-4348
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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