Maxwell, Dana Rae

Maxwell, Dana Rae is an individual health care provider with primary practice located at 3001 Warrior Ln , Poplar Bluff MO 63901-8685. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Maxwell, Dana Rae can be contacted via phone (573) 686-1200.

Contact Information

Primary practice address
3001 Warrior Ln Poplar Bluff MO 63901-8685
Phone: (573) 686-1200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 2012011598 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1588921522
LBN Legal business name Maxwell, Dana Rae
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2012
Last updated Jan 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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