Individual
GRACE COOKWATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
254 E MAIN ST, NEWARK, DE 19711-7311
(302) 731-1405
(302) 731-2720
Mailing address
PO BOX 374, BEAR, DE 19701-0374
(302) 731-1504
(302) 731-2720
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
251
DE
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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