Organization · NPI-2

3522 Silverside, LLC

Social Worker, Clinical · Wilmington, DE

NPI number1366767691
StatusActive
Last updated in NPPESMar 30, 2010

Details

NPI
1366767691
Entity type
Organization (NPI-2)
Legal business name
3522 Silverside, LLC
Organization subpart
No
Enumeration date
Mar 30, 2010
Last updated
Mar 30, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinicalq1-0000261DEYes

Practice location

3522 Silverside Rd
Suite 32
Wilmington, DE 19810-4911

Phone 302-723-2855

Mailing address

3522 Silverside Rd
Suite 32
Wilmington, DE 19810-4911

Phone 302-723-2855

Authorized official

Denise Corrado
Lcsw
3027232855

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