Individual
MRS. LISA DAWN MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2620 PERKINS CREEK DR., PADUCAH, KY 42001
(270) 444-8465
(618) 997-8214
Mailing address
2620 PERKINS CREEK DR., PADUCAH, KY 42001
(270) 444-8465
(618) 997-8214
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.014874
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/18/2006
Last updated
03/15/2023
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