Gordon E Maynard, LICSW

NPI #1134202492 in Marshfield, Vermont

Provider Information

NPI Number: 1134202492
Entity Type: Individual
Name: Gordon E Maynard, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Oct 23, 2006
Last Updated: Jun 26, 2024

Practice Location

Address: 343 UPPER DEPOT RD
City: Marshfield
State: Vermont
ZIP Code: 05658-4417
Phone: (208) 660-2943

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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Organizations

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