Individual
JADA MAULTSBY
Active
Individual
JADA MAULTSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC200003117
DC
1041C0700X
Clinical Social Worker
LG50083740
DC
Other
Enumeration date
08/11/2021
Last updated
01/22/2024
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