Individual
MICHAEL MALCIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
121 S 5TH ST, WILLS POINT, TX 75169-2569
(903) 292-7410
Mailing address
507 LIVINGSTON RD, EDGEWOOD, TX 75117-9504
(903) 292-7410
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
58884
TX
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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