Individual
MRS. DAVID JOEL MAXEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4741 N BROADWAY ST, KNOXVILLE, TN 37918-1793
(865) 804-4479
(865) 687-7911
Mailing address
PO BOX 5558, KNOXVILLE, TN 37928-0558
(865) 804-4479
(865) 687-7911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW3801
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3924830
—
TN
Enumeration date
07/18/2005
Last updated
06/29/2011
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