Maddox, Shirlynn
Maddox, Shirlynn is an sole proprietor health care provider with primary practice located at 524 Cleveland Blvd Ste 230 , Caldwell ID 83605-4080. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Maddox, Shirlynn can be contacted via phone (208) 454-9054.Contact Information
Primary practice address
524 Cleveland Blvd Ste 230
Caldwell ID 83605-4080
Phone: (208) 454-9054
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LMSW 31345 | Idaho |
Profile Details
| NPI number | 1861836082 |
|---|---|
| LBN Legal business name | Maddox, Shirlynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2013 |
| Last updated | Apr 18th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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