Individual
AMANDA CHRISTINE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
(918) 342-0770
Mailing address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8597-P
OK
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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