Individual
MRS. DONNA MARIE WATTLEY- PHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
735 MAPLETON AVE STE 200, MIDDLETOWN, DE 19709-1526
(302) 224-1400
Mailing address
216 W OLD SQUAW RD, MIDDLETOWN, DE 19709-9152
(609) 209-6921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Q30000081
DE
104100000X
Social Worker
Primary
Q30000081
DE
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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