Individual
EMILY GRACE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
955 CAMPUS DR N, WATERFORD, MI 48328-2754
(248) 475-6300
Mailing address
167 E WASHINGTON ST, IONIA, MI 48846-1625
(616) 902-6468
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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