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Individual

MALCOLM HORACE WOODLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1815 N CAPITOL ST NE, WASHINGTON, DC 20002-1535
(302) 540-9895
Mailing address
1815 N CAPITOL ST NE, WASHINGTON, DC 20002-1535
(302) 540-9895

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1000615
DC
103TF0200X
Forensic Psychologist
PSY1000615
DC

Other

Enumeration date
10/01/2020
Last updated
10/01/2020
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