Individual
ABIGAIL ANN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 N 7TH ST, ROCHELLE, IL 61068-1185
(815) 562-3801
Mailing address
318 6TH AVE, UNIT 2, ROCHELLE, IL 61068-1635
(630) 975-1097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149013058
IL
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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