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Individual

ELLEN MAXWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
159 EXECUTIVE DR STE A, DANVILLE, VA 24541-4160
(434) 799-7732
(434) 799-7733
Mailing address
PO BOX 10864, DANVILLE, VA 24543-5015

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary

Other

Enumeration date
05/24/2022
Last updated
05/24/2022
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