Individual
MICAH MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
PO BOX 46, MABSCOTT, WV 25871-0046
(304) 254-8709
Mailing address
PO BOX 46, MABSCOTT, WV 25871-0046
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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