Individual
TARIQ MCGILBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDAC
Contact information
Practice address
103A ROGERS RD, WILMINGTON, DE 19801-5767
(302) 470-1758
Mailing address
103A ROGERS RD, WILMINGTON, DE 19801-5767
(302) 470-1758
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1825
DE
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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