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Behavioral Health & Social Service Providers Psychologist Addiction (Substance Use Disorder)

Provider NPI: 1821388703

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 302-651-4200  Fax: 302-651-5951

Business Mailing Address:
P.O. BOX 191  ROCKLAND, DE 19723-0191 US
Tel: 302-651-4000  Fax: 302-651-4945

NPI Information:
NPI: 1821388703
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
N103TA0400XBehavioral Health & Social Service Providers
Addiction (Substance Use Disorder)
Y103TC2200XBehavioral Health & Social Service Providers

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 103TC2200X





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