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Individual
MISS MARY ELIZABETH TIMOTHY
Active
Individual
MISS MARY ELIZABETH TIMOTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
23-1728027
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007283430002
—
PA
Enumeration date
06/03/2011
Last updated
06/03/2011
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