Individual
ELIZABETH CACCAVONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 CAPITOL TRAIL RD, NEWARK, DE 19711
(302) 454-7520
Mailing address
203 NORTHBEND CT, NEWARK, DE 19702-2122
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
DE
Enumeration date
04/19/2018
Last updated
04/19/2018
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