Organization
TOAD 11 INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY ELAINE GORDON LCSW (PRESIDENT)
(302) 995-7001
Entity
Organization
Contact information
Practice address
5700 KIRKWOOD HWY, SUITE 104, WILMINGTON, DE 19808
(302) 995-7001
Mailing address
5700 KIRKWOOD HWY, SUITE 104, WILMINGTON, DE 19808
(302) 995-7001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q10000415
DE
Other
Enumeration date
05/08/2009
Last updated
06/10/2009
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