Individual
DR. CASILDA MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
300 68TH ST SE, CAMPUS CLINIC, GRAND RAPIDS, MI 49548-6927
(616) 258-7429
(616) 493-6034
Mailing address
300 68TH ST SE, CAMPUS CLINIC, GRAND RAPIDS, MI 49548-6927
(616) 258-7429
(616) 493-6034
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301017793
MI
Other
Enumeration date
06/23/2015
Last updated
01/16/2020
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