Individual
JAY ROBERT CANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
590 NAAMANS RD, CLAYMONT, DE 19703-2308
(833) 886-2277
Mailing address
503 BRIER AVE, WILMINGTON, DE 19805-1963
(215) 518-9197
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CW013457
PA
1041C0700X
Clinical Social Worker
Primary
Q1-0000471
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q1-0000471
—
DE
Enumeration date
10/20/2006
Last updated
11/10/2022
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