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1447464870
MARY TERESA MALDONADO
LONG BEACH, CA
NPI
1447464870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 412281343)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
Mrs. MARY TERESA MALDONADO
2525 GRAND AVE
LONG BEACH, CA 90815-1765
Phone number: 562-570-4100
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Mailing Address
Mrs. MARY TERESA MALDONADO
841 LAGOON AVE
WILMINGTON, CA 90744-4312
Phone number: 310-513-1122
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