Organization
JULISSA LA TERAPISTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULISSA CORIANO ABD, MSW, MED (OWNER)
(302) 505-5577
Entity
Organization
Contact information
Practice address
406 DELAWARE STREET, NEW CASTLE, DE 19720
(302) 505-5577
Mailing address
PO BOX 101, NEW CASTLE, DE 19720-0101
(302) 505-5577
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0000000
DE
Other
Enumeration date
12/10/2015
Last updated
12/27/2016
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