Individual
TERRY SYLVESTER MAXEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
395 LIBERTY ST, SPRINGFIELD, MA 01104-3779
(413) 747-0705
Mailing address
395 LIBERTY ST, SPRINGFIELD, MA 01104-3779
(413) 747-0705
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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