NPI | 1619415601 |
---|---|
Former Legal Business Name | MAGGIE SHAVER LCSW |
Doing Business As | MAGGIE SHAVER, LCSW, LLC |
Entity Type | Organization |
Authorized Contact | MARGARET CATHERINE CREDEUR Owner 225-308-1052 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 12409) |
Enumeration Date | 2017-02-09 |
Last Update Date | 2019-10-12 |