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Individual

MARY M MARONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
1524 N FARWELL AVE, MILWAUKEE, WI 53202-2329
(414) 273-2220
Mailing address
2623 S SHORE DR, MILWAUKEE, WI 53207-2321
(414) 708-0329

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
609-124
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40940900
WI
Enumeration date
02/12/2007
Last updated
03/23/2009
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