Maynard, Kristine
Maynard, Kristine is an sole proprietor health care provider with primary practice located at 1030 S. La Grange Rd Ste #9, La Grange IL 60525. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Maynard, Kristine can be contacted via phone (708) 921-3639.Contact Information
Primary practice address
1030 S. La Grange Rd Ste #9
La Grange IL 60525
Phone: (708) 921-3639
Fax: (708) 588-1501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149008276 | Illinois |
Profile Details
| NPI number | 1215077011 |
|---|---|
| LBN Legal business name | Maynard, Kristine |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Feb 3rd, 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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