Individual
MS. MALAIKA JAMILA RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
817 WOODROW STREET, SUITE 305, COLUMBIA, SC 29205
(803) 569-1789
(803) 462-4972
Mailing address
1801 MCCORMICK DR, SUITE 108, LARGO, MD 20774-5326
(301) 883-0866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
576000922
SC
1041C0700X
Clinical Social Worker
Primary
LC50080275
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3000641104
WORKER'S COMP
SC
05
—
322842
—
SC
Enumeration date
03/19/2008
Last updated
08/31/2015
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