Individual
ANGELEE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W MAIN ST STE 4E, MEDFORD, OR 97501-2744
(541) 238-5181
Mailing address
201 W MAIN ST STE 4E, MEDFORD, OR 97501-2744
(541) 238-5181
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
05/01/2025
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