| NPI | 1053600049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN ELIZABETH MAGUIRE Sole Proprietor 251-654-8523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 2149C) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |