Individual
MARY W HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5340 SE DELL ST, STUART, FL 34997-8048
(561) 420-2925
(772) 219-3809
Mailing address
5340 SE DELL ST, STUART, FL 34997-8048
(561) 420-2925
(772) 219-3809
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693495101
—
FL
05
—
693495196
—
FL
Enumeration date
05/07/2009
Last updated
05/07/2009
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