person
Connie O Madlock
Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin
NPI 1457858136

Connie O Madlock is an Addiction (Substance Use Disorder) Counselor based in Milwaukee, WI and is specialized in Addiction (Substance Use Disorder). Connie O Madlock practices in Milwaukee, WI. The NPI Number for Connie O Madlock is 1457858136 and holds a License No. 16826-130 (Wisconsin).

The current practice location address for Connie O Madlock is 3707 N Richards St, Milwaukee, WI and can be reached out via phone at 414-967-7006 and via fax at 414-967-7020.

Location: 3707 N Richards St, Milwaukee, WI, 53212-1673
person
Provider Profile Details
NPI Number
1457858136
Provider Name
Connie O Madlock
Credential
Provider Entity Type
Individual
Gender
Male
Address
3707 N Richards St, Milwaukee, WI, 53212-1673
Phone Number
414-967-7006
Fax Number
414-967-7020
Provider Enumeration Date
04/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3707 N Richards St
City
State
Zip
53212-1673
Phone Number
414-967-7006
Fax Number
414-967-7020
person
Provider Business Mailing Address Details
Address
3707 N Richards St
City
State
Zip
53212-1673
Phone Number
414-967-7006
Fax Number
414-967-7020
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16826-130 (Wisconsin)
Definition
Definition to come...
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