Individual
MR. JOHN S MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., L.P.A.
Contact information
Practice address
249 WILSON DR, SUITE 5, BOONE, NC 28607-8781
(828) 268-2172
Mailing address
249 WILSON DR, SUITE 5, BOONE, NC 28607-8781
(828) 268-2172
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
195
NC
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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