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Individual

YVETTE MCCULLOUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FAMILY SERVICES CASE

Contact information

Practice address
125 CHAMPIONS DR, BRIDGEVILLE, DE 19933-2438
(302) 390-0477
Mailing address
125 CHAMPIONS DRIVE, PO BOX 51, BRIDGEVILLE, DE 19933-2438
(443) 206-5501

Taxonomy

Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
27S2XJ
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
UZQ4-5GVVXS
27S2XJ
DE
Enumeration date
03/08/2025
Last updated
03/08/2025
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