Individual
MR. MANUEL HERIBERTO MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 WADSWORTH ST, HARTFORD, CT 06106-7108
(860) 527-1124
Mailing address
45 WADSWORTH ST, HARTFORD, CT 06106-7108
(860) 527-1124
(860) 692-1014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/01/2007
Last updated
04/13/2018
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