Organization
ATLANTIC WELLNESS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY VAUGHN MOOR PSY.D. (MEMBER)
(302) 270-6992
Entity
Organization
Contact information
Practice address
139 E BUCKINGHAM DR, REHOBOTH BEACH, DE 19971-1467
(302) 270-6992
Mailing address
139 E BUCKINGHAM DR, REHOBOTH BEACH, DE 19971-1467
(302) 270-6992
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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