Individual
LAURA MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA, THL
Contact information
Practice address
4015 CRESCENT PARK DR, RIVERVIEW, FL 33578-3605
(813) 492-8310
Mailing address
12746 MAPLE BONSAI DR, RIVERVIEW, FL 33579-9444
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI5604
FL
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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