Individual
MAGEN WYNEMA MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 ANTHONI AVE STE 300, WHEELING, WV 26003-6403
(304) 242-6722
Mailing address
210 ANTHONI AVE STE 300, WHEELING, WV 26003-6403
(304) 242-6722
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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