Individual
INES IRNE MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 E. 21ST STREET, TULSA, OK 74104
(918) 949-4430
(918) 260-7898
Mailing address
6606 E OKLAHOMA ST, TULSA, OK 74115-5655
(918) 551-9786
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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