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Individual
TERESA MYERS MAXWELL
Active
Individual
TERESA MYERS MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C10490
MS
1041C0700X
Clinical Social Worker
LSW0000004376
TN
1041C0700X
Clinical Social Worker
Primary
SW13031
FL
Other
Enumeration date
05/23/2007
Last updated
09/26/2024
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