Individual
DIANE TAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
825 N WASHINGTON ST, WILMINGTON, DE 19801-1509
(302) 655-7110
(302) 655-6185
Mailing address
1844 WINDOVR WAY, WEST CHESTER, PA 19382-6952
(610) 793-3032
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
Q1-0000260
DE
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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