Individual
MISS DELISA ANN LUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAS CAAC
Contact information
Practice address
625 N ORANGE ST, 2ND FLOOR, WILMINGTON, DE 19801-2296
(302) 656-4044
(302) 656-3439
Mailing address
PO BOX 245, QUINTON, NJ 08072-0245
(302) 373-8892
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103TP2701X
—
DE
Enumeration date
03/27/2007
Last updated
07/08/2007
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