Individual
MRS. TYSHEENA PATRICE CONYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
25 S OLD BALTIMORE PIKE STE 201, CHRISTIANA, DE 19702-1540
(302) 266-6200
(302) 266-6212
Mailing address
19 WINDY WAY, SMYRNA, DE 19977-1846
(419) 559-9730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0001723
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q1-0001723
DELAWARE BOARD OF SOCIAL WORK EXAMINERS
DE
Enumeration date
11/05/2019
Last updated
11/05/2019
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