Individual
MS. MAXINE NMN EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
(478) 274-5506
Mailing address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
(478) 274-5506
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW002975
GA
Other
Enumeration date
12/31/2008
Last updated
12/31/2008
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