Individual
DR. MAMIE M FUTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LISW-CP
Contact information
Practice address
955 FOREST ST, DOVER, DE 19904-3401
(302) 760-9736
(302) 329-3107
Mailing address
217 BUCKEYE LN, SMYRNA, DE 19977-5246
(484) 542-9883
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Q1-0011940
DE
1041C0700X
Clinical Social Worker
Primary
Q1-0011940
DE
251S00000X
Community/Behavioral Health Agency
Q1-0011940
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87-1982892
—
DE
Enumeration date
08/03/2021
Last updated
02/26/2023
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