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Individual

MS. TEISHA LYNNE MALDONADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1801 E MAIN ST, ROCHESTER, NY 14609-7402
(585) 288-3130
(585) 654-1066
Mailing address
1801 E MAIN ST, ROCHESTER, NY 14609-7402
(585) 288-3130
(585) 654-1066

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
065842-1
NY

Other

Enumeration date
10/05/2011
Last updated
10/05/2011
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