Individual
MS. AMANDA MARIE MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
151 BURRS LN, DIX HILLS, NY 11746-6052
(631) 213-0226
Mailing address
500 PECONIC ST APT 354B, RONKONKOMA, NY 11779-7105
(631) 790-6674
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105399
NY
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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