Individual
MRS. ELISABETH MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4515 POPLAR AVE STE 503, MEMPHIS, TN 38117-7503
(901) 335-3409
Mailing address
3959 SUMMER POINTE DR, OLIVE BRANCH, MS 38654-2509
(901) 335-3409
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5061
TN
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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