Provider Information for 1568046381
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REBECCA MAPLE MSW,LCSW
Sex: Female
NPI: 1568046381
Last Updated: 2024-03-05
Certification Date: 2022-02-17
Certification Date: 2022-02-17
Details
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NPI | 1568046381 | ||||||||||||
Enumeration Date | 2021-05-07 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 4455 E 12TH AVE DENVER, CO 80220-2415 United States Phone: | Fax: | ||||||||||||
Primary Practice Address | 9730 S WESTERN AVE STE 350 EVERGREEN PARK, IL 60805-2814 United States Phone: 855-284-7483 | Fax: | ||||||||||||
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