Individual
INGRIZ MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 GARDENIA ST, LA PLACE, LA 70068-3016
(910) 474-4701
Mailing address
550 GARDENIA ST, LA PLACE, LA 70068-3016
(910) 474-4701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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