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Individual

MARY ELLEN WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2601 W 4TH ST, WILMINGTON, DE 19805-3309
(302) 656-0651
(302) 654-6432
Mailing address
102 HUMPSMAN DR, DOVER, DE 19904-1446

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0000753
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000025873
DE
Enumeration date
08/17/2006
Last updated
07/08/2007
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