# MR. EMMANUEL GEORGE MAIZE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235427436
- **Gender:** Man
- **Credential:** BS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 172V00000X | Community Health Worker | 1389 | KY | — |

## Other

- **Enumeration date:** 07/21/2011
- **Last updated:** 12/18/2012