Individual
SHANNA KATHLEEN STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19606 COASTAL HWY, REHOBOTH BEACH, DE 19971-8596
(302) 294-6950
Mailing address
9838 SOUTHPOINTE XING, SEAFORD, DE 19973-8597
(443) 669-4066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0000884
DE
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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