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Individual
MARY PELLERIN PYFROM
Active
Individual
MARY PELLERIN PYFROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
6276
LA
235Z00000X
Speech-Language Pathologist
Primary
SA13673
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015807300
—
FL
01
—
S01CE
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/09/2010
Last updated
12/11/2015
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