Provider Demographics
NPI:1578298931
Name:EXILUS, YURI NAOMI
Entity Type:Individual
Prefix:
First Name:YURI
Middle Name:NAOMI
Last Name:EXILUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1747 MICHELANGELO DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-1804
Mailing Address - Country:US
Mailing Address - Phone:856-571-5173
Mailing Address - Fax:
Practice Address - Street 1:1747 MICHELANGELO DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1804
Practice Address - Country:US
Practice Address - Phone:856-571-5173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker