Individual
MARIO GALICIA MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4930 W CRITTENDEN LN, PHOENIX, AZ 85031-3168
(818) 814-2692
Mailing address
4449 N 12TH ST, PHOENIX, AZ 85014-4520
(602) 279-1427
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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