Individual
THOMAS WILLIAM MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5583
Mailing address
723 WALDEN CHASE LN, COLUMBUS, GA 31909-1752
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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