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Individual
MR. MALIK WILSON
Active
Individual
MR. MALIK WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASTERS DEGREE
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101Y00000X
MA
1041C0700X
Clinical Social Worker
Primary
—
MA
Other
Enumeration date
05/11/2011
Last updated
02/25/2013
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