Kaye Ellen Maynard LISW

NPI 1740594530 - Social Worker - 1041C0700X

NPI Details
NPI 1740594530
Gender Female
Enumeration Date 08/04/2010
Last Updated 08/20/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
7257 E BROAD ST SW
UNIT C
PATASKALA OH, 43062-8501, US
Phone (740) 963-2976
Fax
Business Location
7257 E BROAD ST SW
UNIT C, P.O. BOX 292
PATASKALA OH, 43062-8501, US
Phone (740) 963-2976
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Ohio
License Number I.1000063
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According to our database, Kaye Ellen Maynard LISW NPI is 1740594530, taxonomy code is 1041C0700X and license number is I.1000063, license state is located at Ohio. Kaye Ellen Maynard LISW physically located at 7257 E Broad St Sw, Pataskala OH, 43062-8501. NPI Number Kaye Ellen Maynard LISW has the Individual type.

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1740594530 NPI number is provided on an as is basis without warranty of any kind. 1740594530 is maintained by the National Plan & Provider Enumeration System. The contents of Kaye Ellen Maynard LISW are for informational purposes only.