Individual
STACY L. BOBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
20707 DUPONT BLVD, GEORGETOWN, DE 19947-3171
(302) 854-0626
(302) 854-0628
Mailing address
27269 DILLARDS RD, LAUREL, DE 19956-3629
(302) 258-4676
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
123796
DE
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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