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Individual
JASSON MALDONADO
Active
Individual
JASSON MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ACSW134148
CA
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1954
—
CA
05
—
6758
—
CA
05
—
7068
—
CA
05
—
7420
—
CA
Enumeration date
01/26/2018
Last updated
11/10/2025
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