MS. Kristine Maynard, LCSW

NPI #1215077011 in La Grange, Illinois

Provider Information

NPI Number: 1215077011
Entity Type: Individual
Name: MS. Kristine Maynard, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Feb 8, 2007
Last Updated: Feb 3, 2020

Practice Location

Address: 1030 S. LA GRANGE RD
Address 2: STE #9
City: La Grange
State: Illinois
ZIP Code: 60525
Phone: (708) 921-3639

Specialties & Taxonomy Codes

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

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