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Individual
LORENZO MAULDIN III
Active
Individual
LORENZO MAULDIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
103K00000X
CA
103K00000X
Behavior Analyst
10
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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