Individual
MRS. KIMBERLY ANN BENIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ICADC
Contact information
Practice address
500 W 10TH ST, WILMINGTON, DE 19801-1422
(302) 377-5483
Mailing address
27 SMALLEYS CV, NEWARK, DE 19702-5262
(302) 377-5483
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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