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Individual

MS. RITA VYACHECLAVOVNA KLYAUZOVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2625 CROSSGATES DR., WILMINGTON, DE 19808-2310
(302) 993-6415
Mailing address
2625 CROSSGATES DR., WILMINGTON, DE 19808-2310
(302) 993-6415

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
965499

Other

Enumeration date
08/03/2022
Last updated
08/03/2022
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