| Changes | |
|
16154 Hudson Rd Milton DE 19968-3605 | |
| (202) 701-3831 | |
| Not Available |
| Full Name | Changes |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 16154 Hudson Rd, Milton, Delaware |
| Authorized Official Name and Position | Cid Vordenbaum (OWNER) |
| Authorized Official Contact | 2027013831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changes 16154 Hudson Rd Milton DE 19968-3605 Ph: (202) 701-3831 | Changes 16154 Hudson Rd Milton DE 19968-3605 Ph: (202) 701-3831 |
| NPI Number | 1235933896 |
|---|---|
| Provider Enumeration Date | 04/02/2025 |
| Last Update Date | 04/02/2025 |
| Certification Date | 04/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235933896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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