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Individual
TRAKIDA MALDONADO
Active
Individual
TRAKIDA MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007592
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15061994
CAQH
—
01
—
LPC007592
LICENSE
GA
Enumeration date
02/21/2021
Last updated
02/21/2021
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