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Individual

EBONY MALDONADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-A

Contact information

Practice address
5580 ANGEL OAKS DR, WINSTON SALEM, NC 27105-9112
(929) 351-7288
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-9034

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
P024065
NC
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/07/2025
Last updated
07/14/2026
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