Individual
GUANINA POLLY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5171 W WOODMILL DR, WILMINGTON, DE 19808-4067
(302) 999-9812
Mailing address
5171 W WOODMILL DR, WILMINGTON, DE 19808-4067
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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