Organization
SUPPORTING KIDDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE TRAYNOR PSYD, MBA (EXECUTIVE DIRECTOR)
(302) 235-5544
Entity
Organization
Contact information
Practice address
1213 OLD LANCASTER PIKE, HOCKESSIN, DE 19707-9560
(302) 235-5544
(302) 235-2672
Mailing address
1213 OLD LANCASTER PIKE, HOCKESSIN, DE 19707-9560
(302) 235-5544
(302) 235-2672
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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