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Individual

MR. JOSEPH RUSSELL MAIDEN SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
204 W HILL BLVD, 437 MEDICAL OPERATIONS SQUADRON, CHARLESTON, SC 29404
(843) 963-6972
Mailing address
9331 AYSCOUGH RD, SUMMERVILLE, SC 29485-8676
(843) 821-7291

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
08537
MD
1041C0700X
Clinical Social Worker
LC302707
DC

Other

Enumeration date
08/10/2006
Last updated
09/11/2025
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