Individual
MR. EMMANUEL GEORGE MAIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
225 W BRECKINRIDGE ST, LOUISVILLE, KY 40203-2219
(502) 561-1051
(502) 587-7145
Mailing address
225 W BRECKINRIDGE ST, LOUISVILLE, KY 40203-2219
(502) 561-1051
(502) 587-7145
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
172V00000X
Community Health Worker
1389
KY
Other
Enumeration date
07/21/2011
Last updated
12/18/2012
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