Individual
TAILYNN MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
LMSW-T
Contact information
Practice address
333 W ROOSEVELT ST, PHOENIX, AZ 85003-1324
(623) 695-7980
(602) 691-0233
Mailing address
333 W ROOSEVELT ST, PHOENIX, AZ 85003-1324
(623) 695-7980
(602) 691-0233
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-08168T
AZ
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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