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Individual

MRS. DEBORAH ANN PISAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
5171 W WOODMILL DR STE 9, WILMINGTON, DE 19808-4067
(302) 999-9812
(302) 999-9820
Mailing address
5171 W WOODMILL DR STE 9, WILMINGTON, DE 19808-4067
(302) 999-9812
(302) 999-9812

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1559
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1518929850
DE
Enumeration date
06/01/2021
Last updated
06/01/2021
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