Organization
GORDON MAYNARD COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON E MAYNARD LICSW (SOLE MEMBER)
(208) 660-2943
Entity
Organization
Contact information
Practice address
343 UPPER DEPOT RD, MARSHFIELD, VT 05658-4417
(208) 660-2943
Mailing address
343 UPPER DEPOT RD, MARSHFIELD, VT 05658-4417
(208) 660-2943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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