Individual
SANDRA A. DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1679 S DUPONT HWY, SUITE 16, DOVER, DE 19901-5101
(302) 735-7738
(302) 735-8560
Mailing address
600 W DIVISION ST, SUITE 16, DOVER, DE 19904-2702
(302) 735-7738
(302) 735-8560
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Q1-0000296
DE
1041C0700X
Clinical Social Worker
Primary
Q1-0000296
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021573
—
DE
Enumeration date
08/01/2006
Last updated
05/12/2016
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