Individual
KIMATRA MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
344 MAIN ST STE 9, FITCHBURG, MA 01420
(978) 516-4600
(978) 516-4601
Mailing address
PO BOX 12, FITCHBURG, MA 01420-0001
(978) 516-4600
(978) 516-4601
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/01/2016
Last updated
12/05/2019
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