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Individual

MELINDA K. MAITLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
125 OLD CHARTWELL DR, JOHNS CREEK, GA 30022-8511
(717) 357-1869
(866) 358-3496
Mailing address
125 OLD CHARTWELL DR, JOHNS CREEK, GA 30022-8511
(717) 357-1869
(866) 358-3496

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
05044769
PA
174400000X
Specialist
Primary
1356881
GA
252Y00000X
Early Intervention Provider Agency
222Q00000X
PA

Other

Enumeration date
10/23/2009
Last updated
04/24/2013
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