Provider Demographics
NPI:1437326535
Name:MARQUEZ-DYER, CAROL J (LCSW)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:J
Last Name:MARQUEZ-DYER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:J
Other - Last Name:MARQUEZ-DYER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2601 W 4TH ST
Mailing Address - Street 2:P.O.BOX 2610
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-3309
Mailing Address - Country:US
Mailing Address - Phone:302-674-1600
Mailing Address - Fax:
Practice Address - Street 1:1155 WALKER RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-6539
Practice Address - Country:US
Practice Address - Phone:302-674-1600
Practice Address - Fax:302-674-1005
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00009291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical