Individual
CHARMAINE ANTOINETTE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5143A W WOODMILL DR, SUITE 24, WILMINGTON, DE 19808-4067
(302) 283-3300
(302) 283-3321
Mailing address
71 OMEGA DR, BUILDING D, NEWARK, DE 19713-2063
(302) 283-3300
(302) 283-3321
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CD-0000043
DE
1041C0700X
Clinical Social Worker
Primary
Q1-0001123
DE
Other
Enumeration date
02/06/2012
Last updated
02/07/2012
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