Lora Diane Maxson LLPC

NPI 1104117365 - Counselor - 101YP2500X

NPI Details
NPI 1104117365
Gender Female
Enumeration Date 04/22/2011
Last Updated 04/22/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
8623 N WAYNE RD
WESTLAND MI, 48185-1137, US
Phone (734) 376-0469
Fax
Business Location
25521 HOPKINS ST
DEARBORN HEIGHTS MI, 48125-1552, US
Phone (313) 530-3976
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Michigan
License Number 6401011557
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According to our database, Mrs. Lora Diane Maxson LLPC NPI is 1104117365, taxonomy code is 101YP2500X and license number is 6401011557, license state is located at Michigan. Lora Diane Maxson LLPC physically located at 8623 N Wayne Rd, Westland MI, 48185-1137. NPI Number Lora Diane Maxson LLPC has the Individual type.

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1104117365 NPI number is provided on an as is basis without warranty of any kind. 1104117365 is maintained by the National Plan & Provider Enumeration System. The contents of Lora Diane Maxson LLPC are for informational purposes only.