Individual
MRS. SUSAN RUTH CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
1311 N RODNEY ST, WILMINGTON, DE 19806-4259
(302) 652-6545
(302) 652-1811
Mailing address
1311 N RODNEY ST, WILMINGTON, DE 19806-4259
(302) 652-6545
(302) 652-1811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC0000128
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000030235
—
DE
Enumeration date
08/17/2005
Last updated
07/08/2007
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