Melissa L. Maxwell, L.C.S.W.
Social Worker, Clinical in Durham, NC. Individual provider (NPI-1).
NPI number1154532166
StatusActive
Last updated in NPPESAug 6, 2013
Details
- NPI
- 1154532166
- Entity type
- Individual (NPI-1)
- Name
- Ms. Melissa L. Maxwell
- Credential
- L.C.S.W.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 24, 2007
- Last updated
- Aug 6, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C007622 | NC | Yes |
| 1041C0700X | Social Worker, Clinical | 076086-1 | NY |
Practice location
3713 University DrSte A
Durham, NC 27707-6202
Phone 917-658-3312
Mailing address
3713 University Dr Ste ADurham, NC 27707-6202
Phone 917-658-3312
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