Individual
MARITA MERKVILADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 LANCASTER PIKE, WILMINGTON, DE 19805-1511
(302) 278-0026
Mailing address
144 BERRY DR, WILMINGTON, DE 19808-3616
(302) 377-7877
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
DE
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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