Individual
MARIA BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
277 GA 74, PEACHTREE CITY, GA 30269-0000
(917) 968-4855
Mailing address
277 HIGHWAY 74 N, PEACHTREE CITY, GA 30269-1569
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0873961
NY
1041C0700X
Clinical Social Worker
Primary
CSW005884
GA
Other
Enumeration date
05/22/2013
Last updated
03/17/2018
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