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Individual

VANESSA FOULK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCMH

Contact information

Practice address
25 S OLD BALTIMORE PIKE, NEWARK, DE 19702-1540
(302) 266-6200
Mailing address
1217 N. OLMSTED PKWY, MIDDLETOWN, DE 19709

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/25/2018
Last updated
10/25/2018
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