Individual
R MAXWELL GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
110 BROADWAY, BUCKSPORT, ME 04416
(207) 469-7371
(207) 469-7306
Mailing address
110 BROADWAY, BUCKSPORT, ME 04416
(207) 469-7371
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC2750
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313590099
—
ME
Enumeration date
04/03/2006
Last updated
12/16/2009
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