| Maxwell Chisholm, Llc | |
|
1609 Conway Ave Ypsilanti MI 48198-6535 | |
| (734) 431-2896 | |
| Not Available |
| Full Name | Maxwell Chisholm, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1609 Conway Ave, Ypsilanti, Michigan |
| Authorized Official Name and Position | Maxwell Chisholm (OWNER) |
| Authorized Official Contact | 7344312896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxwell Chisholm, Llc 1609 Conway Ave Ypsilanti MI 48198-6535 Ph: (734) 431-2896 | Maxwell Chisholm, Llc 1609 Conway Ave Ypsilanti MI 48198-6535 Ph: (734) 431-2896 |
| NPI Number | 1245952464 |
|---|---|
| Provider Enumeration Date | 09/14/2022 |
| Last Update Date | 09/14/2022 |
| Certification Date | 09/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245952464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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