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Individual
MS. MARY-JO D. WEBER
Active
Individual
MS. MARY-JO D. WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400379
NY
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
001681
CT
Other
Enumeration date
01/01/2007
Last updated
03/11/2014
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