Provider Information for 1194296889
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KATHLEEN ROSE MALDONADO LMFT
Sex: Female
NPI: 1194296889
Last Updated: 2024-09-12
Certification Date: 2024-09-12
Certification Date: 2024-09-12
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1194296889 | ||||||||
| Enumeration Date | 2018-12-06 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 706 ACKLEY ST MONTEREY PARK, CA 91755-5718 United States Phone: 323-219-2098 | Fax: | ||||||||
| Primary Practice Address | 50 N HILL AVE PASADENA, CA 91106-1949 United States Phone: 626-836-1195 | Fax: | ||||||||
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