Individual
ASIA AMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LACMH
Contact information
Practice address
505 MAIN ST, ODESSA, DE 19730-2013
(302) 279-6491
Mailing address
904 W 34TH ST APT N9, WILMINGTON, DE 19802-2536
(717) 602-5577
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
AC-0010472
DE
Other
Enumeration date
12/03/2019
Last updated
02/19/2025
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