Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1013311695 |
---|---|
Provider Name | Mrs. Kandis Renee Lebron |
First Address | Wilmington, DE 19802-2702 |
Second Address | Wilmington, DE 19802-2702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2014 |
Last Update Date | 10/10/2014 |