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Individual
WANDA MARGARITA MALDONADO
Active
Individual
WANDA MARGARITA MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.M.H.C.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 12067
FL
103T00000X
Psychologist
1260
PR
Other
Enumeration date
03/15/2010
Last updated
02/11/2014
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