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Individual

MARY BEATRICE REYES

Active
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Individual

MARY BEATRICE REYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
PY7474
FL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY7474
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
472993025
TAX ID
FL
Enumeration date
09/17/2009
Last updated
02/09/2015
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