Individual
BARBARA A MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1503 MASSACHUSETTS AVE, TROY, NY 12180-1718
(585) 690-4217
Mailing address
1503 MASSACHUSETTS AVE, TROY, NY 12180-1718
(585) 690-4217
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
103737-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154888
—
NY
Enumeration date
03/23/2020
Last updated
03/23/2020
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