IRMA I PHILLIPS-MAXWELL

GAINESVILLE, FL
NPI1053410191
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: FL  CERTIFICATION #1979)
Enumeration Date2006-09-22
Last Update Date2007-07-08
Business Address
MRS. IRMA I PHILLIPS-MAXWELL CAP
2002 NW 13TH ST SUITE 120
GAINESVILLE, FL 32609-5414
Phone number: 352-376-1611
Mailing Address
MRS. IRMA I PHILLIPS-MAXWELL CAP
PO BOX 1145
GAINESVILLE, FL 32602-1145
Phone number: 352-376-1611
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