Tracy Maddox
NPI #1396221198 in Biloxi, Mississippi
Provider Information
- NPI Number
- 1396221198
- Entity Type
- Individual
- Name
- Tracy Maddox
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Jul 14, 2018
- Last Updated
- Jul 14, 2018
Practice Location
- Address
- 1635 POPPS FERRY RD STE D
- City
- Biloxi
- State
- Mississippi
- ZIP Code
- 39532-2312
- Phone
- (228) 207-0725
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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