| Toad 11 Inc. | |
|
5700 Kirkwood Hwy Suite 104 Wilmington DE 19808 | |
| (302) 995-7001 | |
| Not Available |
| Full Name | Toad 11 Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5700 Kirkwood Hwy, Wilmington, Delaware |
| Authorized Official Name and Position | Nancy Elaine Gordon (PRESIDENT) |
| Authorized Official Contact | 3029957001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Toad 11 Inc. 5700 Kirkwood Hwy Suite 104 Wilmington DE 19808 Ph: (302) 995-7001 | Toad 11 Inc. 5700 Kirkwood Hwy Suite 104 Wilmington DE 19808 Ph: (302) 995-7001 |
| NPI Number | 1700010568 |
|---|---|
| Provider Enumeration Date | 05/08/2009 |
| Last Update Date | 06/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700010568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | Q10000415 (Delaware) | Primary |
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