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1154644680
ANGELA M MAXWELL
CHATTANOOGA, TN
NPI
1154644680
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Former Name
ANGELA M BURNETTE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN LSW0000005082)
Enumeration Date
2010-03-11
Last Update Date
2010-09-09
Business Address
-- ANGELA M MAXWELL LCSW
6110 SHALLOWFORD RD C/O CRC
CHATTANOOGA, TN 37421-1894
Phone number: 800-632-6074
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Mailing Address
-- ANGELA M MAXWELL LCSW
7431 114TH AVE SUITE 104
LARGO, FL 33773-5119
Phone number: 800-632-6074
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