Individual
DANA LESLIE CONKLIN-MALUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1812 NEWPORT GAP PIKE, WILMINGTON, DE 19808-6179
(302) 668-8665
Mailing address
1812 NEWPORT GAP PIKE, WILMINGTON, DE 19808-6179
(302) 668-8665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q3-0000055
DE
Other
Enumeration date
12/14/2019
Last updated
12/14/2019
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