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Individual
MARY IANDOLO
Active
Individual
MARY IANDOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001108100
—
FL
Enumeration date
05/08/2009
Last updated
01/24/2011
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