Individual
TERRICA MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
12086 WINFIELD RD, WINFIELD, WV 25213-7902
(304) 964-3557
Mailing address
12086 WINFIELD RD, WINFIELD, WV 25213-7902
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00946035
WV
Other
Enumeration date
10/04/2022
Last updated
07/18/2023
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