Individual
CAROL MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1300 MOURSUND ST, HOUSTON, TX 77030-3406
(713) 500-2500
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
(713) 500-5484
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S02803
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86280Q
BCBS
TX
Enumeration date
07/17/2006
Last updated
07/12/2007
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