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1003525601
ROOSEVELT MALDONADO
PROVIDENCE, RI
NPI
1003525601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI CSW02822)
Enumeration Date
2022-11-22
Last Update Date
2022-11-22
Business Address
ROOSEVELT MALDONADO
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
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Mailing Address
ROOSEVELT MALDONADO
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
Copy
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