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Individual

ALYSON MARIE MALDONADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
7001A LOISDALE RD, SPRINGFIELD, VA 22150-1904
(703) 971-0602
Mailing address
5401 BAYCHESTER CT, ALEXANDRIA, VA 22315-4201
(727) 432-0295

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
06415
MD
235Z00000X
Speech-Language Pathologist
146.009344
IL
235Z00000X
Speech-Language Pathologist
Primary
2202006336
VA
235Z00000X
Speech-Language Pathologist
SA10389
FL

Other

Enumeration date
10/15/2008
Last updated
10/13/2015
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