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182 Fox Hollow Dr Magnolia DE 19962-2751 | |
(302) 494-3397 | |
Not Available |
Full Name | |
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Speciality | Psychologist - Family |
Location | 182 Fox Hollow Dr, Magnolia, Delaware |
Authorized Official Name and Position | Danielle Wiggins (OWNER) |
Authorized Official Contact | 3024943397 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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182 Fox Hollow Dr Magnolia DE 19962-2751 Ph: () - | 182 Fox Hollow Dr Magnolia DE 19962-2751 Ph: (302) 494-3397 |
NPI Number | 1538670377 |
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Provider Enumeration Date | 10/19/2017 |
Last Update Date | 06/11/2020 |
Certification Date | 06/11/2020 |
Identifier | Type | State | Issuer |
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1538670377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TF0000X | Psychologist - Family | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | Q1-0001348 (Delaware) | Secondary |
Enlightened Hearts Psychotherapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 454 W Birdie Ln, Magnolia, DE 19962 Phone: 914-440-0772 | |