Individual
MARY B. HELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
55 WILBUR BLVD, POUGHKEEPSIE, NY 12603-3424
(845) 452-3714
Mailing address
24 THORNWOOD DR, POUGHKEEPSIE, NY 12603-4633
(845) 452-3714
(845) 473-5451
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
R012022-1
NY
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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