Individual
ELIZABETH WALLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMH, LCSW
Contact information
Practice address
707 WALKER RD, DOVER, DE 19904-2768
(302) 674-2380
(302) 674-1299
Mailing address
PO BOX 415, ODESSA, DE 19730-0415
(302) 449-1522
(302) 652-1811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
QI-0000644
DE
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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