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General NPI Number Information
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NPI Number | 1720842701
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Entity Type | Organization
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Legal Business Name | MAXIME THERAPY LCSW PLLC
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Dates
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Enumeration Date | 02/09/2024
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 808 UNION STREET SUITE 3A, OFFICE 6
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City | BROOKLYN
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State | NY
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Zip | 11215-1121
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Country | US
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Telephone | 508-922-2004
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Fax | 855-841-3966
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Provider Business Mailing Address
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Address Line | 6 NARCISSUS ROAD WEST
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City | MASTIC BEACH
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State | NY
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Zip | 11951
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Country | US
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Telephone | 508-922-2004
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Fax | 855-841-3966
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Authorized Official
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Title or Position | PSYCHOTHERAPIST/CLINICAL SOCIAL WOR
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Name | FRANCES MARGUERITE MAXIME
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Credential | LCSW, LICSW
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Telephone | 508-922-2004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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