Individual
MRS. MARYELLEN CAGGIANO CARBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
1132 S LITTLE CREEK RD, DOVER, DE 19901-4727
(302) 734-7750
(302) 736-5265
Mailing address
PO BOX 1155, DOVER, DE 19903-1155
(302) 734-7750
(302) 736-5265
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0000238
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000022278
—
DE
Enumeration date
01/04/2007
Last updated
07/08/2007
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