ROOSEVELT MALDONADO

PROVIDENCE, RI
NPI1003525601
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: RI  CSW02822)
Enumeration Date2022-11-22
Last Update Date2022-11-22
Business Address
ROOSEVELT MALDONADO
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
Mailing Address
ROOSEVELT MALDONADO
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
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