Full Name | Gail |
---|---|
Speciality | Community/behavioral Health |
Location | 278 Wilmas Way, Dover, Delaware |
Authorized Official Name and Position | Gail Marie Clark (OWNER) |
Authorized Official Contact | 3026043906 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gail 278 Wilmas Way Dover DE 19901-5538 Ph: (302) 604-3906 | Gail 278 Wilmas Way Dover DE 19901-5538 Ph: (302) 604-3906 |
NPI Number | 1205372059 |
---|---|
Provider Enumeration Date | 01/17/2017 |
Last Update Date | 01/17/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205372059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | PC-0000366 (Delaware) | Primary |
News Archive
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› Verified 4 days ago
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