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Organization

MARY HILDENBRAND, PH.D., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY HILDENBRAND PH.D. (LICENSE PSYCHOLOGIST)
(216) 534-3757
Entity
Organization

Contact information

Practice address
1361 GLADYS AVE, LAKEWOOD, OH 44107-2511
(216) 534-3757
Mailing address
1361 GLADYS AVE, LAKEWOOD, OH 44107-2511
(216) 534-3757

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6580
OH

Other

Enumeration date
01/27/2017
Last updated
01/27/2017
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