Individual
DR. MAXWELL LEVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LICSW
Contact information
Practice address
3928 MAIN ST, MANCHESTER, VT 05254
(802) 768-1216
Mailing address
PO BOX 203, MANCHESTER, VT 05254-0203
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LICSW127369
MA
Other
Enumeration date
08/16/2018
Last updated
01/27/2025
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