Individual
MAEGAN MAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5483 N KY 11, GIRDLER, KY 40906
(606) 627-9250
Mailing address
5483 N KY 11, BARBOURVILLE, KY 40906-0621
(606) 627-9250
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256666
KY
Other
Enumeration date
03/02/2020
Last updated
12/05/2022
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