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Individual
MRS. MARY WOLF BERNHARDT
Active
Individual
MRS. MARY WOLF BERNHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA15604
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
888472112A
—
GA
Enumeration date
04/07/2006
Last updated
04/19/2019
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