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Organization

SOULCERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MILLICENT MALDONADO PSYD (CHIEF PSYCHOLOGIST)
(939) 202-9296
Entity
Organization

Contact information

Practice address
URB. VALPARAISO, J29 CALLE 4, TOA BAJA, PR 00949-4022
(939) 202-9296
Mailing address
URB. VALPARAISO, J29 CALLE 4, TOA BAJA, PR 00949
(939) 202-9296

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TF0000X
Family Psychologist
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
03/04/2025
Last updated
03/04/2025
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