Individual
MS. LISA MAE SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
500 W 10TH ST, WILMINGTON, DE 19801
(866) 477-5345
Mailing address
284 SHELL RD, CARNEY'S POINT, NJ 08069
(302) 415-9215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0000542
DE
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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