| Gail | |
|
278 Wilmas Way Dover DE 19901-5538 | |
| (302) 604-3906 | |
| Not Available |
| Full Name | Gail |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 278 Wilmas Way, Dover, Delaware |
| Authorized Official Name and Position | Gail Marie Clark (OWNER) |
| Authorized Official Contact | 3026043906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gail 278 Wilmas Way Dover DE 19901-5538 Ph: (302) 604-3906 | Gail 278 Wilmas Way Dover DE 19901-5538 Ph: (302) 604-3906 |
| NPI Number | 1205372059 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 01/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205372059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PC-0000366 (Delaware) | Primary |
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