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Individual
MR. EMMANUEL GEORGE MAIZE
Active
Individual
MR. EMMANUEL GEORGE MAIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
172V00000X
Community Health Worker
1389
KY
Other
Enumeration date
07/21/2011
Last updated
12/18/2012
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