Holly Deanne Maxwell

NPI #1134818826 in Shawnee, Oklahoma

Provider Information

NPI Number: 1134818826
Entity Type: Individual
Name: Holly Deanne Maxwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: May 8, 2023
Last Updated: May 8, 2023

Practice Location

Address: 10 SEQUOYAH BLVD
City: Shawnee
State: Oklahoma
ZIP Code: 74801-5543
Phone: (580) 399-1355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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