STEPHEN MAYNARD

KELSO, WA
NPI1124477393
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L5823)
Enumeration Date2016-06-08
Last Update Date2016-06-21
Business Address
Mr. STEPHEN MAYNARD LCSW
1710 ALLEN ST
KELSO, WA 98626-4907
Phone number: 360-261-7020
Mailing Address
Mr. STEPHEN MAYNARD LCSW
2700 N EMERSON ST
PORTLAND, OR 97217-3821
Phone number: 360-261-7020
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