Individual
VICKIE AMANDA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 W 4TH ST, WILMINGTON, DE 19805-3367
(302) 633-2690
Mailing address
2500 W 4TH ST, WILMINGTON, DE 19805-3367
(302) 633-2690
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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