Individual
ESU OBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2131 S DUPONT HWY STE 4, DOVER, DE 19901-5506
(302) 698-6312
(302) 264-4716
Mailing address
2131 S DUPONT HWY STE 4, DOVER, DE 19901-5506
(302) 698-6312
(302) 698-6312
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
DE
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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