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Carmen Maxwell

Psychiatric Hospital in Tacoma, WA. Individual provider (NPI-1).

NPI number1326229402
StatusActive
Last updated in NPPESNov 17, 2007

Details

NPI
1326229402
Entity type
Individual (NPI-1)
Name
Ms. Carmen Maxwell
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 17, 2007
Last updated
Nov 17, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
283Q00000X Psychiatric Hospitallp00020939WAYes

Practice location

815 S Pearl St
Tacoma, WA 98465-2117

Phone 253-396-5930

Mailing address

815 S Pearl St
Tacoma, WA 98465-2117

Phone 253-396-5930

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