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Individual

MS. AMY P FIBELKORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
20728 N. DUPONT HWY, STE. 313, GEORGETOWN, DE 19947-0000
(302) 854-0172
Mailing address
1241 COLLEGE PARK DR, DOVER, DE 19904-8713
(302) 735-7790
(302) 735-3654

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
937
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689733792
DE
Enumeration date
11/10/2008
Last updated
05/02/2011
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