Individual
MISS MAXWELL BROGGI-SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
20 SCOTCH RD STE E, EWING, NJ 08628-2529
(609) 403-6359
Mailing address
215 AMHERST ST, HIGHLAND PARK, NJ 08904-3505
(732) 841-8002
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07136000
NJ
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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