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Individual
MR. MALCOLM BASIL BYRD II
Active
Individual
MR. MALCOLM BASIL BYRD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CHES
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255631
KY
Other
Enumeration date
07/27/2021
Last updated
04/27/2022
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