Individual
EMILY MAXIMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3595 GRAND FORKS BLVD, CHARLOTTESVILLE, VA 22911-5610
(949) 973-0441
Mailing address
1469 MONTEREY DR, CHARLOTTESVILLE, VA 22901-9003
(949) 973-0441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015305
VA
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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