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NPI Profile for MAVERICK SVENBY in DEATSVILLE, AL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Developmental Disabilities |
261QD1600X |
| NPI # | 1053201509 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/07/2025 | |
| Last updated | 07/07/2025 - About 11 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MAVERICK SVENBY
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MAVERICK SVENBY