Individual
THEODORA ANNE MILLERLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
1155 WALKER RD, DOVER, DE 19904-6539
(302) 674-1600
(302) 674-1005
Mailing address
2601 W 4TH ST, WILMINGTON, DE 19805-3309
(302) 674-1600
(302) 674-1005
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC0000273
DE
Other
Enumeration date
06/30/2005
Last updated
09/21/2010
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