Individual
LEON MAULTSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1610 EMERALD LAKE CV APT 102, CASSELBERRY, FL 32707-6914
(323) 440-5313
Mailing address
801 DOUGLAS AVE, ALTAMONTE SPRINGS, FL 32714-5206
(407) 830-6412
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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