Individual
ISAAC IVERSON QWEPUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSING
Contact information
Practice address
229 JORDAN DR, DOVER, DE 19904-2004
(215) 431-5197
(302) 674-5259
Mailing address
229 JORDAN DR, DOVER, DE 19904-2004
(215) 431-5197
(302) 674-5259
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
2468
DE
Other
Enumeration date
05/17/2017
Last updated
07/21/2022
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