Individual
MARCIA K LIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1601 CONCORD PIKE, SUITES 92-100, WILMINGTON, DE 19803-3612
(302) 409-3434
Mailing address
410 FOULK RD, SUITE 105, WILMINGTON, DE 19803-3820
(302) 762-2285
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0000790
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100039274
—
DE
Enumeration date
02/07/2007
Last updated
02/26/2014
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