Connie O Madlock
Connie O Madlock is an Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2018
Practice location Address checks out
3707 N Richards StMilwaukee, WI 53212-1673
Phone: (414) 967-7006
Fax: (414) 967-7020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 16826-130 (WI) |
|---|
Record details
| NPI number | 1457858136 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 10, 2018 |
| Last updated in NPPES | April 10, 2018 |
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