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Holly Deanne Maxwell
Peer Specialist in Shawnee, Oklahoma
NPI 1134818826

Holly Deanne Maxwell is a Peer Specialist based in Shawnee, OK. Holly Deanne Maxwell practices in Shawnee, OK. The NPI Number for Holly Deanne Maxwell is 1134818826 and holds a License No. (Oklahoma).

The current practice location address for Holly Deanne Maxwell is 10 Sequoyah Blvd, Shawnee, OK and can be reached out via phone at 580-399-1355.

Location: 10 Sequoyah Blvd, Shawnee, OK, 74801-5543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134818826
Provider Name
Holly Deanne Maxwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
10 Sequoyah Blvd, Shawnee, OK, 74801-5543
Phone Number
580-399-1355
Fax Number
Provider Enumeration Date
05/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10 Sequoyah Blvd
City
Shawnee
State
Oklahoma
Zip
74801-5543
Phone Number
580-399-1355
Fax Number
person
Provider Business Mailing Address Details
Address
10 Sequoyah Blvd
City
Shawnee
State
Oklahoma
Zip
74801-5543
Phone Number
580-399-1355
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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