Individual
ELIZABETH MOUSSEAU MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
2729 13TH AVE E, HIBBING, MN 55746-2314
(218) 293-4789
Mailing address
100 CENTRAL AVE NE APT 202, CHISHOLM, MN 55719-1847
(218) 996-2144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28879
MN
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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