Most Relevant Information
Provider Data
| NPI Number: | 1003390485 |
| Provider Name: | VINCENT MAIXNER LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 44SL06408400 |
Most Important Dates
| Enumeration Date: | 09/20/2018 |
| Last Updated: | 04/18/2023 |
Provider Practice Location
507 LANNING CT
FLORHAM PARK
NJ
079321534
Practice Location Phone/Fax
| Phone: | 9733025332 |
| Fax: |
Provider Mailing Location
109 BEE ST
CHARLESTON
SC
294015703
Provider Mailing Phone/Fax
| Phone: | 8435775011 |
| Fax: |