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Individual

MARY LOUISE SMITH

Active
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Individual

MARY LOUISE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.P.M., L.D.M.

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-250740
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140041
OR
01
97100006
NARM CERTIFICATION/ CPM
OR
01
DEM-LM-250740
MIDWIFERY LICENSE #
OR
Enumeration date
09/22/2006
Last updated
07/08/2007
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