Individual
MR. BRIAN PASSALAQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
500 W 10TH ST, WILMINGTON, DE 19801-1422
(302) 230-9154
(302) 691-1100
Mailing address
500 W 10TH ST, WILMINGTON, DE 19801-1422
(302) 230-9154
(302) 691-1100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0001092
DE
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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