Individual
AUDREY ELIZABETH SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LCGC
Contact information
Practice address
4701 OGLETOWN STANTON RD, SUITE 2200, NEWARK, DE 19713-2055
(302) 623-4593
Mailing address
4701 OGLETOWN STANTON RD, SUITE 2200, NEWARK, DE 19713-2055
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC000201
PA
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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