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Individual

MS. MARY BIHLDORFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAT,CCC-A

Contact information

Practice address
511 W GROVE ST, 306, MIDDLEBORO, MA 02346-1458
(508) 946-1320
(508) 947-4099
Mailing address
511 W GROVE ST, 306, MIDDLEBORO, MA 02346-1458
(508) 946-1320
(508) 947-4099

Taxonomy

Speciality
Code
Description
License number
State
231HA2400X
Assistive Technology Practitioner Audiologist
Primary
AUD365
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AD0024
BC/BS
MA
Enumeration date
11/01/2006
Last updated
07/08/2007
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