Individual
COLLEEN DAVIS MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4027 N OAKLAND AVE, SHOREWOOD, WI 53211-2356
(414) 585-1620
Mailing address
4027 N OAKLAND AVE, SHOREWOOD, WI 53211-2356
(414) 585-1620
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9883
WI
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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