Terry L. Maxson LCSW

NPI 1235400045 - Social Worker - 1041C0700X

NPI Details
NPI 1235400045
Gender Male
Enumeration Date 01/25/2012
Last Updated 01/25/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
5275 MARKET ST
SUITE E
SAN DIEGO CA, 92114-2212, US
Phone (619) 857-6799
Fax
Business Location
5275 MARKET ST
SUITE E
SAN DIEGO CA, 92114-2212, US
Phone (619) 857-6799
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number LC 12382
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According to our database, Mr. Terry L. Maxson LCSW NPI is 1235400045, taxonomy code is 1041C0700X and license number is LC 12382, license state is located at California. Terry L. Maxson LCSW physically located at 5275 Market St, San Diego CA, 92114-2212. NPI Number Terry L. Maxson LCSW has the Individual type.

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1235400045 NPI number is provided on an as is basis without warranty of any kind. 1235400045 is maintained by the National Plan & Provider Enumeration System. The contents of Terry L. Maxson LCSW are for informational purposes only.