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Organization

PAMELA DAVIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA DAVIS LCSW (EXECUTIVE DIRECTOR)
(302) 660-2282
Entity
Organization

Contact information

Practice address
5610 KIRKWOOD HWY, WILMINGTON, DE 19808-5004
(302) 660-2282
(302) 660-7042
Mailing address
1407 SAINT ELIZABETH ST, SUITE B, WILMINGTON, DE 19805-4570
(302) 660-2282
(302) 660-7042

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
Q100011008
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
221487394
DE
Enumeration date
07/17/2013
Last updated
07/17/2013
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