Individual
SENATE MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
146 PIERSON AVE, EDISON, NJ 08837-3047
(973) 991-5337
Mailing address
146 PIERSON AVE, EDISON, NJ 08837-3047
(973) 991-5337
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06166300
NJ
1041S0200X
School Social Worker
828569
NJ
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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