Individual
SUSAN E. YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW/ICADC
Contact information
Practice address
1902 A MARYLAND AVENUE, WILMINGTON, DE 19805-4605
(302) 655-7108
(302) 655-0689
Mailing address
1902 A MARYLAND AVENUE, WILMINGTON, DE 19805-4605
(302) 655-7108
(302) 655-0689
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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