Individual
REBECCA ANN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
709 S 5TH ST, FORT PIERCE, FL 34950-8339
(772) 672-8600
Mailing address
709 S 5TH ST, FORT PIERCE, FL 34950-8339
(772) 672-8600
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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