Most Relevant Information
Provider Data
| NPI Number: | 1003329319 |
| Provider Name: | JAZMINE MADDOX MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | Q1-0001759 |
Most Important Dates
| Enumeration Date: | 11/08/2017 |
| Last Updated: | 02/28/2022 |
Provider Practice Location
1602 GARTH RD
BAYTOWN
TX
775202410
Practice Location Phone/Fax
| Phone: | 2818372844 |
| Fax: |
Provider Mailing Location
1602 GARTH RD
BAYTOWN
TX
775202410
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |