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Individual
MS. MARY LOUISE WENTWORTH
Active
Individual
MS. MARY LOUISE WENTWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., A.R.N.P.
Taxonomy
Speciality
Code
Description
License number
State
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Primary
14-35853-092
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100385900A
—
KS
Enumeration date
08/28/2008
Last updated
08/28/2008
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