Individual
CHRISTOPHER STOUDEMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1902A MARYLAND AVENUE, WILMINGTON, DE 19805-4605
(302) 655-7108
(302) 655-0689
Mailing address
1902A MARYLAND AVENUE, WILMINGTON, DE 19805-4605
(302) 655-7108
(302) 655-0689
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0001167
DE
Other
Enumeration date
02/26/2010
Last updated
09/06/2012
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