Individual
JENNIFER L MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 454-6514
(414) 454-6751
Mailing address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 454-6514
(414) 454-6751
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7733-123
WI
Other
Enumeration date
03/18/2011
Last updated
02/14/2018
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