Individual
MS. MALAIKA JAMILA RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
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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