Kris Maynard Lcsw Ltd

NPI #1174163463 in La Grange, Illinois

Provider Information

NPI Number: 1174163463
Entity Type: Organization
Organization Name: Kris Maynard Lcsw Ltd
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 14, 2020
Last Updated: Jul 5, 2021

Practice Location

Address: 1030 S LA GRANGE RD STE 9
City: La Grange
State: Illinois
ZIP Code: 60525-2893
Phone: (708) 921-3639

Authorized Official

Name: MS. KRISTINE MAYNARD, LCSW
Title: PRESIDENT
Phone: (708) 921-3639

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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