Healthcare Provider Details
I. General information
NPI: 1154571818
Provider Name (Legal Business Name): CAROL GARNET RHUE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/30/2008
Last Update Date: 02/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
115 N WALNUT ST STE C
MILFORD DE
19963-1472
US
IV. Provider business mailing address
24419 WILDFLOWER LN
MILFORD DE
19963-4772
US
V. Phone/Fax
- Phone: 302-424-1322
- Fax: 302-484-7772
- Phone: 302-684-1445
- Fax: 302-684-1347
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | Q1-0000585 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: