Individual
MISS SHONETESHA QUAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
725 HORSEPOND RD, DOVER, DE 19901-7232
(302) 747-1107
Mailing address
725 HORSEPOND RD, DOVER, DE 19901-7232
(302) 747-1107
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC0000584
DE
Other
Enumeration date
07/07/2012
Last updated
10/15/2015
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