Fourqurean, Maxzella S.

Fourqurean, Maxzella S. is an individual health care provider with primary practice located at 305 E Main St , Elizabeth City NC 27909-4425. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fourqurean, Maxzella S. can be contacted via phone (252) 335-0803.

Contact Information

Primary practice address
305 E Main St Elizabeth City NC 27909-4425
Phone: (252) 335-0803
Fax: (252) 335-9143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004231 North Carolina

Profile Details

NPI number 1427159227
LBN Legal business name Fourqurean, Maxzella S.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427159227 NPPES
North Carolina MEDICAID 6003290
North Carolina Other 1376M

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