Individual
TAMIKA MALLARD I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER, BS
Contact information
Practice address
800 W OAKLAND PARK BLVD, WILTON MANORS, FL 33311-0916
(754) 701-1197
Mailing address
3009 NW 7TH ST, FORT LAUDERDALE, FL 33311-7611
(754) 201-9855
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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