Provider Information for 1851772941
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DESIREE MALDONADO LICSW
Sex: Female
NPI: 1851772941
Last Updated: 2018-08-14
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1851772941 | ||||||||
| Enumeration Date | 2015-06-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 88 LINCOLN ST FRAMINGHAM, MA 01702-6354 United States Phone: 508-620-0010 | Fax: | ||||||||
| Primary Practice Address | 88 LINCOLN ST FRAMINGHAM, MA 01702 United States Phone: 508-620-0010 | Fax: | ||||||||
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