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Organization
BANWOL
Active
Organization
BANWOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MURIEL LARAMORE MHS (PROGRAM DIRECTOR)
(267) 304-1649
Entity
Organization
Contact information
Practice address
3407 LANCASTER PIKE, WILMINGTON, DE 19805-5543
(302) 998-9880
Mailing address
3407 LANCASTER PIKE, WILMINGTON, DE 19805-5543
(302) 998-9880
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
DE
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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