Individual
CARLOS PATRICIO SALCEDO MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W
Contact information
Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
(313) 831-2608
Mailing address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
(313) 831-2608
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
6801101931
MI
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
01/07/2014
Last updated
03/17/2018
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