Individual
PATIENCE AGBEVIADEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 EAST ST, HARRINGTON, DE 19952-1320
(302) 377-2095
Mailing address
1 EAST ST, HARRINGTON, DE 19952-1320
(302) 377-2095
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1367
DE
1041C0700X
Clinical Social Worker
Primary
Q1-0001655
DE
Other
Enumeration date
10/05/2018
Last updated
10/12/2018
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