Individual
MR. ANTHONY WAYNE MAULDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
8401 CONSTITUTION AVE NE STE 215, ALBUQUERQUE, NM 87110-7604
(505) 382-5720
(505) 271-4957
Mailing address
8401 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-7604
(505) 382-5720
(505) 271-4957
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/04/2007
Last updated
09/10/2021
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