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NPI Code Detail

MEDICARE: BARBARA ANN MAXWELL LCSW

MEDICARE:   BARBARA ANN MAXWELL  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW4097FL

General Provider Information

NPI Number : 1699879080
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA ANN MAXWELL LCSW
Provider Business Mailing Address
First Line : 315 LANDINGS DR
Second Line :
City : LYNN HAVEN
State : FL
Zip : 32444-3242
Country : US
Telephone Number : 850-271-5491
Fax Number : 850-215-8551
Provider Business Practice Location Address
First Line : 2003B WILSON AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4532
Country : US
Telephone Number : 850-215-8552
Fax Number : 850-215-8551
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 07/09/2007

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Directions to “ BARBARA ANN MAXWELL LCSW” Practice Location

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