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1801471024
LICELOTT MARIE MALDONADO
PONCE, PR
NPI
1801471024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PR 5821)
Enumeration Date
2021-03-10
Last Update Date
2021-03-10
Business Address
Dr. LICELOTT MARIE MALDONADO Clin. Psychologist
450 CALLE FERROCARRIL STE 203
PONCE, PR 00717-4105
Phone number: 787-638-3778
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Mailing Address
Dr. LICELOTT MARIE MALDONADO Clin. Psychologist
PO BOX 8930
PONCE, PR 00732-8930
Phone number: 787-638-3778
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