Individual
CHARLI MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2401 UNIVERSITY PKWY STE 104, SARASOTA, FL 34243-2894
(239) 690-6906
Mailing address
4117 WYATT CIR, SARASOTA, FL 34241-6057
(941) 320-8676
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW20720
FL
Other
Enumeration date
04/12/2023
Last updated
06/05/2025
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