Individual
MERLE MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 W 24TH ST # 605, NEW YORK, NY 10010-3206
(347) 983-2233
Mailing address
58 E MAIN ST, CANTON, NY 13617-1451
(510) 459-8662
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P119785
NY
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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