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1114587276
JENNIFER DIZE
ELLENDALE, DE
NPI
1114587276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-06-19
Last Update Date
2019-06-19
Business Address
JENNIFER DIZE
700 MAIN ST
ELLENDALE, DE 19941-2066
Phone number: 302-424-5680
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Mailing Address
JENNIFER DIZE
700 MAIN ST
ELLENDALE, DE 19941-2066
Phone number: 302-424-5680
Copy
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