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Individual
MAXINE JEAN-LOUIS
Active
Individual
MAXINE JEAN-LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
13194
LA
1041C0700X
Clinical Social Worker
Primary
0904011937
VA
Other
Enumeration date
11/17/2015
Last updated
12/07/2020
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