Organization
GOODWILL INDUSTRIES OF DELAWARE & DELAWARE COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA L BROSIOUS (WORKFORCE INITIATIVES MANAGER)
(302) 504-5737
Entity
Organization
Contact information
Practice address
300 E LEA BLVD, WILMINGTON, DE 19802-2354
(302) 761-4640
Mailing address
300 E LEA BLVD, WILMINGTON, DE 19802-2354
(302) 504-5737
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000496
—
DE
05
—
221000496
—
DE
Enumeration date
12/15/2020
Last updated
03/08/2021
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