Provider First Line Business Practice Location Address:
1500 SPRUCE AVE
Provider Second Line Business Practice Location Address:
RED CLAY CONSOLIDATED SCHOOL DISTRICT
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19805
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-552-3797
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/11/2010