Individual
ANDREW MAULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
165 ROANOKE RD, EL CAJON, CA 92020-4015
(619) 588-3653
Mailing address
165 ROANOKE RD, EL CAJON, CA 92020-4015
(619) 588-3653
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMF 57503
CA
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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