Individual
ELIJAH MALIK PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSWA
Contact information
Practice address
5200 PARK RD STE 218B, CHARLOTTE, NC 28209-3650
(866) 700-1606
Mailing address
5200 PARK RD STE 218B, CHARLOTTE, NC 28209-3650
(866) 700-1606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P019719
NC
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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