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Individual

LIESL RHENATA PERRY LOONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD, CCC-A

Contact information

Practice address
1600 ROCKLAND RD, AUDIOLOGY DEPARTMENT, WILMINGTON, DE 19803-3607
(302) 651-6052
(302) 651-6219
Mailing address
1600 ROCKLAND RD, AUDIOLOGY DEPARTMENT, WILMINGTON, DE 19803-3607
(302) 651-6052
(302) 651-6219

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
A-0170
WV
231H00000X
Audiologist
Primary
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3404005000
WV
Enumeration date
09/21/2006
Last updated
03/28/2008
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