Individual
DOMONIQUE L WISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 N BROAD ST STE 4A, MIDDLETOWN, DE 19709-1045
(302) 601-1510
Mailing address
115 N BROAD ST STE 4A, MIDDLETOWN, DE 19709-1045
(302) 601-1510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0011974
DE
Other
Enumeration date
09/09/2019
Last updated
10/30/2023
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