MR. Stephen Maynard, LCSW
NPI #1124477393 in Kelso, Washington
Provider Information
- NPI Number
- 1124477393
- Entity Type
- Individual
- Name
- MR. Stephen Maynard, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jun 8, 2016
- Last Updated
- Jun 21, 2016
Practice Location
- Address
- 1710 ALLEN ST
- City
- Kelso
- State
- Washington
- ZIP Code
- 98626-4907
- Phone
- (360) 261-7020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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