JAMIE MAXWELL

SAN PEDRO, CA
NPI1720867211
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1526640923)
Enumeration Date2023-09-25
Last Update Date2023-09-25
Business Address
JAMIE MAXWELL
505 S PACIFIC AVE
SAN PEDRO, CA 90731-2656
Phone number: 310-519-8723
Mailing Address
JAMIE MAXWELL
2033 S CRESCENT AVE
SAN PEDRO, CA 90731-5512
Phone number: 310-519-8723
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