Individual
TANYA BRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CADC
Contact information
Practice address
503 W 9TH ST, WILMINGTON, DE 19801-1401
(302) 377-4105
Mailing address
500 W 10TH ST, WILMINGTON, DE 19801-1422
(302) 377-4105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
230-9133
DE
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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