person
Juanita Brisco
Intellectual & Developmental Disabilities Psychologist in Milton, Delaware
NPI 1659974087

Juanita Brisco is a Intellectual & Developmental Disabilities Psychologist based in Milton, DE and is specialized in Intellectual & Developmental Disabilities. Juanita Brisco practices in Milton, DE. The NPI Number for Juanita Brisco is 1659974087 and holds a License No. (Delaware).

The current practice location address for Juanita Brisco is 28291 Fisher Rd, Milton, DE and can be reached out via phone at 302-573-1247.

Location: 28291 Fisher Rd, Milton, DE, 19968-3273
person
Provider Profile Details
NPI Number
1659974087
Provider Name
Juanita Brisco
Credential
Provider Entity Type
Individual
Gender
Female
Address
28291 Fisher Rd, Milton, DE, 19968-3273
Phone Number
302-573-1247
Fax Number
Provider Enumeration Date
11/18/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
250568415 05 DE
institution
Provider Business Practice Location Address Details
Address
28291 Fisher Rd
City
State
Zip
19968-3273
Phone Number
302-573-1247
Fax Number
person
Provider Business Mailing Address Details
Address
28291 Fisher Rd
City
State
Zip
19968-3273
Phone Number
302-573-1247
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
License No.
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Definition
Definition to come...
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