Organization
T.E.A.M., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDMOND S MAXON III LBSW (TEXAS SOCIAL WORKER)
(972) 289-0040
Entity
Organization
Contact information
Practice address
609 N EBRITE ST, SUITE 111, MESQUITE, TX 75149-3478
(972) 289-0040
(972) 289-0042
Mailing address
609 N EBRITE ST, SUITE 111, MESQUITE, TX 75149-3478
(972) 289-0040
(972) 289-0042
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22799
TX
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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