Individual
STACEY FEDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 MOUNT LEBANON RD, WILMINGTON, DE 19803-1713
(302) 464-0515
Mailing address
8 FELDSPAR DR, CHADDS FORD, PA 19317-9226
(215) 962-4721
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0011621
DE
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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