KATHLEEN H MAIETTA

SAN DIEGO, CA
NPI1487128617
Former NameKATHLEEN H RYDER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MA  121686)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: MA  121686)
Enumeration Date2019-01-22
Last Update Date2019-04-29
Business Address
KATHLEEN H MAIETTA LCSW
4725 MARKET ST
SAN DIEGO, CA 92102
Phone number: 860-965-3818
Mailing Address
KATHLEEN H MAIETTA LCSW
2865 LOGAN AVE
SAN DIEGO, CA 92113-2411
Phone number: 619-232-4357