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1487027785
DOLORES JENNIFER THACKRAH
WILMINGTON, DE
NPI
1487027785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-11-09
Last Update Date
2015-11-09
Business Address
-- DOLORES JENNIFER THACKRAH
2713 LANCASTER AVE
WILMINGTON, DE 19805-5220
Phone number: 302-504-5991
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Mailing Address
-- DOLORES JENNIFER THACKRAH
2713 LANCASTER AVE
WILMINGTON, DE 19805-5220
Phone number:
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