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Individual

DR. STEPHANIE WHARTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LPCMH, NCC

Contact information

Practice address
5149 W WOODMILL DR STE 20, WILMINGTON, DE 19808
(484) 883-6523
Mailing address
5149 W WOODMILL DR STE 20, WILMINGTON, DE 19808-4067
(484) 620-3593

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
PC-0000716
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200147047
DE
Enumeration date
05/21/2015
Last updated
06/12/2018
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