IDA MARIE MAXIE

JACKSON, TN
NPI1750401337
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-03-29
Last Update Date2009-08-10
Business Address
-- IDA MARIE MAXIE Case Manager
238 SUMMAR DR
JACKSON, TN 38301-3906
Phone number: 731-935-8200
Mailing Address
-- IDA MARIE MAXIE Case Manager
1804 HIGHWAY 45 BYP SUITE 604
JACKSON, TN 38305-4436
Phone number: 731-660-8759
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