Organization
KRIS MAYNARD LCSW LTD
Active
Other names
Stillpath Therapy and Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTINE MAYNARD LCSW (PRESIDENT)
(708) 921-3639
Entity
Organization
Contact information
Practice address
1030 S LA GRANGE RD STE 9, LA GRANGE, IL 60525-2893
(708) 921-3639
(708) 588-1501
Mailing address
1030 S LA GRANGE RD STE 9, LA GRANGE, IL 60525-2893
(708) 921-3639
(708) 588-1501
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
07/05/2021
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