Organization
SELF REALIZATION, LLC
Active
Other names
Wisdom Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL WALKER JR. ED.D. (EXECUTIVE DIRECTOR)
(302) 312-8221
Entity
Organization
Contact information
Practice address
102 SLEEPY HOLLOW DR, STE 200, MIDDLETOWN, DE 19709-5841
(302) 312-8221
Mailing address
9 MORNING DEW DR, MIDDLETOWN, DE 19709-2419
(302) 312-8221
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
B10000757
DE
Other
Enumeration date
11/23/2009
Last updated
02/04/2010
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