Individual
JUDDEE ANNE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP, NCP, LMSW
Contact information
Practice address
527 COBB ST, CADILLAC, MI 49601-2540
(231) 755-3463
Mailing address
527 COBB ST, CADILLAC, MI 49601-2540
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301005541
MI
104100000X
Social Worker
6801065016
MI
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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