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Individual

DR. BEVERLEY A. MARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
22 5TH ST, SUITE 208, STAMFORD, CT 06905-5030
(203) 569-0067
Mailing address
601 ELM ST, MONROE, CT 06468-1804
(203) 452-1110

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001137
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001137
LICENSE NUMBER
CT
Enumeration date
10/06/2008
Last updated
10/06/2008
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