Individual
ELIMAY LOIS MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5245 N UNIVERSITY DR STE A, LAUDERHILL, FL 33351-5017
(954) 993-1578
Mailing address
5245 N UNIVERSITY DR STE A, LAUDERHILL, FL 33351-5017
(754) 213-1619
(954) 440-0267
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW15046
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117108600
—
FL
Enumeration date
04/10/2019
Last updated
09/12/2023
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