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Individual
MRS. MARY LOU BITTNER
Active
Individual
MRS. MARY LOU BITTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
283Q00000X
Psychiatric Hospital
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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