Individual
MALIKA A. BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2302 SUMMERWALK PKWY, TUCKER, GA 30084-8435
(470) 588-0716
Mailing address
2302 SUMMERWALK PKWY, TUCKER, GA 30084-8435
(470) 588-0716
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006060
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW006060
GEORGIA COMPOSITE BOARD
GA
Enumeration date
05/17/2020
Last updated
05/17/2020
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