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Individual
MARY DOIRON
Active
Individual
MARY DOIRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP5632
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00879833
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIAITON
—
01
—
SP 5632
DEPARTMENT OF CONSUMER AFFAIRS
CA
Enumeration date
03/31/2017
Last updated
03/31/2017
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