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Individual

TARESA PITTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
102 SLEEPY HOLLOW DR, SUITE 204 BUNKER HILL BUILDING, MIDDLETOWN, DE 19709-5846
(302) 365-0384
Mailing address
8 BORDEAUX BLVD, NEWARK, DE 19702
(302) 365-0384

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
L8-0000124
DE

Other

Enumeration date
08/14/2013
Last updated
12/06/2013
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