Organization
IUM CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE UMANA-MAXWELL LCSW (CLINICAL SOCIAL WORKER)
(678) 983-7671
Entity
Organization
Contact information
Practice address
849 FRANKLIN RD SE APT 1205, MARIETTA, GA 30067-2909
(678) 983-7671
Mailing address
849 FRANKLIN RD SE APT 1205, MARIETTA, GA 30067-2909
(678) 983-7671
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW003750
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104153725
NPI
—
Enumeration date
11/04/2009
Last updated
11/04/2009
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