Individual
MS. MARY LOUISE MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
4501 BENTLEY DR APT 338, COLUMBIA, SC 29210-8500
(803) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000432A
IN
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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