Individual
ISSECHELIZ MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 273-8100
(401) 861-8696
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CWS02897
RI
Other
Enumeration date
01/11/2022
Last updated
09/26/2025
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