Individual
MRS. POLIXENI JENNY STAMATIADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 SHALLCROSS AVE, WILMINGTON, DE 19806-3037
(302) 252-5882
Mailing address
1500 SHALLCROSS AVE, WILMINGTON, DE 19806-3037
(302) 252-5882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0001158
DE
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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