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Individual

MRS. MALIKA DIONNE MCMEANS SPRUILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
904 VANDYKE GREENSPRING RD, TOWNSEND, DE 19734-9218
(302) 312-7072
(833) 303-0292
Mailing address
917 SWEET HOLLOW WAY, MIDDLETOWN, DE 19709-8652
(302) 377-5883

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0001021
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100059400035
DE
01
620958001
MEDICARE DCN
Enumeration date
09/22/2010
Last updated
06/10/2024
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