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Individual
DR. MARY FIELDING EDLOW
Active
Individual
DR. MARY FIELDING EDLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MARY
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R038337
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P068457
OXFORD
NY
Enumeration date
03/26/2007
Last updated
04/24/2017
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