Provider Information for 1699311381
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REBECCA L DRIES LPCMH
Sex: Female
NPI: 1699311381
Last Updated: 2019-11-18
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1699311381 | ||||||||
| Enumeration Date | 2019-11-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1201 W 7TH ST APT 3 WILMINGTON, DE 19805-3258 United States Phone: 404-821-7036 | Fax: | ||||||||
| Primary Practice Address | 1201 W 7TH ST APT 3 WILMINGTON, DE 19805-3258 United States Phone: 404-821-7036 | Fax: | ||||||||
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