Wood, Max L

Wood, Max L is an sole proprietor health care provider with primary practice located at 6400 W Main St Suite 1-S, Belleville IL 62223-3806. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wood, Max L can be contacted via phone (618) 394-9282.

Contact Information

Primary practice address
6400 W Main St Suite 1-S Belleville IL 62223-3806
Phone: (618) 394-9282
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149004660 Illinois

Profile Details

NPI number 1962630442
LBN Legal business name Wood, Max L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2009
Last updated Jun 23rd, 2009 - about 15 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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