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NPI Code Detail

MEDICARE: MASHAL MALIK LCSW

MEDICARE: MASHAL MALIK LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6576-CNV

General Provider Information

NPI Number : 1063853406
Entity Type Code : Individual
Provider Name (Legal Business Name) : MASHAL MALIK LCSW
Provider Business Mailing Address
First Line : 525 ROBERTS ST
Second Line : SUITE 102
City : RENO
State : NV
Zip : 89502-7818
Country : US
Telephone Number : 775-348-8811
Fax Number :
Provider Business Practice Location Address
First Line : 525 ROBERTS ST
Second Line : SUITE 102
City : RENO
State : NV
Zip : 89502-7818
Country : US
Telephone Number : 775-348-8811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2013
Last Update Date : 10/26/2016

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Directions to “ MASHAL MALIK LCSW” Practice Location

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