Individual
MS. ELLEN JB MAXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBT
Contact information
Practice address
777 37TH ST STE B106, VERO BEACH, FL 32960-7301
(772) 299-4325
(772) 998-7997
Mailing address
981 E 13TH SQ, VERO BEACH, FL 32960-2109
(772) 257-0300
(772) 409-8600
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
1815
—
Other
Enumeration date
07/14/2007
Last updated
07/14/2007
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