Individual
JIMMIE KEVIN MEMMINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
256 CHAPMAN RD, NEWARK, DE 19702-5499
(302) 345-5530
Mailing address
256 CHAPMAN RD STE 105-2, NEWARK, DE 19702-5499
(302) 345-5530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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