Individual
CHRESENCIA DEIDRA ALICEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 W WOODMILL DR STE 31, WILMINGTON, DE 19808-4068
(302) 753-9650
Mailing address
1419 ATHENS RD, WILMINGTON, DE 19803-5111
(302) 753-9650
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
FA-0000009
DE
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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