Organization
PORT IN THE STORM, INC
Active
Organization
PORT IN THE STORM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY ANNE MILLIGAN PH.D. (VICE PRESIDENT)
(302) 735-7738
Entity
Organization
Contact information
Practice address
600 W DIVISION ST, DOVER, DE 19904-2702
(302) 735-7738
(302) 735-8560
Mailing address
PO BOX 77, DOVER, DE 19903-0077
(302) 735-7738
(302) 735-8560
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q10000296
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021573
—
DE
Enumeration date
07/15/2014
Last updated
07/15/2014
Update your record
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