Provider Demographics
NPI:1497976559
Name:MAGEE, MAGGIE MARILYN (LCSW)
Entity Type:Individual
Prefix:
First Name:MAGGIE
Middle Name:MARILYN
Last Name:MAGEE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34960 STACCATO ST
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211
Mailing Address - Country:US
Mailing Address - Phone:760-772-4284
Mailing Address - Fax:760-772-5657
Practice Address - Street 1:77-564A COUNRY CLUB DRIVE SUITE 136
Practice Address - Street 2:#136
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211
Practice Address - Country:US
Practice Address - Phone:760-772-4284
Practice Address - Fax:760-772-5657
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW55331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical