Individual
CAROLYN MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 252-0731
Mailing address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1600653
OH
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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