Search › Texas › 104100000X
Susanne Maynard, LMSW,MT-BC
NPI 1669762241 · on the registry since 2011 · sole proprietor
Practice
- Address
- 203 E Maple St
Keene, TX 76059 - Phone
- (817) 897-5598
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 225A00000X
171M00000X - Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-02-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas