Individual
ANGELA M MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6110 SHALLOWFORD RD, C/O CRC, CHATTANOOGA, TN 37421-1894
(800) 632-6074
Mailing address
14745 SUGURA DR, WINTER GARDEN, FL 34787-9347
(904) 994-4414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LSW0000005082
TN
1041C0700X
Clinical Social Worker
Primary
SW11258
FL
Other
Enumeration date
03/11/2010
Last updated
05/09/2025
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