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Individual

MRS. FERN SPELLMAN DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
260 CHAPMAN RD, SUITE 203 A, NEWARK, DE 19702-5490
(302) 981-2809
(302) 369-1155
Mailing address
438 HAYSTACK DR, NEWARK, DE 19711-8316
(302) 369-1155

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
Q1-0000152
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11403150
CAQH
DE
Enumeration date
03/01/2007
Last updated
08/12/2011
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