Provider Demographics
NPI:1366693673
Name:MAGUIRE, KATHLEEN JULIE (BA)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:JULIE
Last Name:MAGUIRE
Suffix:
Gender:F
Credentials:BA
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Mailing Address - Street 1:1649 ELLSBERG CT
Mailing Address - Street 2:APARTMENT 6
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4431
Mailing Address - Country:US
Mailing Address - Phone:305-293-7346
Mailing Address - Fax:305-293-7444
Practice Address - Street 1:5501 COLLEGE RD
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4307
Practice Address - Country:US
Practice Address - Phone:305-293-7346
Practice Address - Fax:305-293-7444
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health