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Individual
MARY E DAVITT
Active
Individual
MARY E DAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, NP
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
041-321192
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209-007333
IL
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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