Individual
AYANI MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 SUGARTOWN RD STE 220, WAYNE, PA 19087-3136
(484) 279-8973
Mailing address
230 SUGARTOWN RD STE 220, WAYNE, PA 19087-3136
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC014850
PA
Other
Enumeration date
09/12/2022
Last updated
09/30/2022
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