Individual
DEVON MAYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1027 N 8TH AVE E, DULUTH, MN 55805-1427
(218) 336-8860
Mailing address
4000 W 9TH ST, DULUTH, MN 55807-1563
(218) 625-2661
(218) 625-2697
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22794
MN
Other
Enumeration date
02/04/2016
Last updated
12/12/2018
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