Organization
GAIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL MARIE CLARK LPCMH (OWNER)
(302) 604-3906
Entity
Organization
Contact information
Practice address
278 WILMAS WAY, DOVER, DE 19901-5538
(302) 604-3906
Mailing address
278 WILMAS WAY, DOVER, DE 19901-5538
(302) 604-3906
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PC-0000366
DE
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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