Individual
MALIKA DASHAWNE CLOSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 W FAYETTE ST, BALTIMORE, MD 21201-1543
(410) 328-2293
(410) 328-5895
Mailing address
PO BOX 64277, BALTIMORE, MD 21264-4277
(410) 328-7037
(410) 328-3311
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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