Provider Demographics
NPI:1982820759
Name:MAYO, MAJUANA (LSW)
Entity Type:Individual
Prefix:
First Name:MAJUANA
Middle Name:
Last Name:MAYO
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 HICKORY AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:PA
Mailing Address - Zip Code:19560-1674
Mailing Address - Country:US
Mailing Address - Phone:229-894-9274
Mailing Address - Fax:
Practice Address - Street 1:845 N PARK RD
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1342
Practice Address - Country:US
Practice Address - Phone:484-709-1381
Practice Address - Fax:833-497-1352
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical