Individual
MARY M MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
3661 S MIAMI AVE, SUITE 409, MIAMI, FL 33133-4236
(305) 854-5971
Mailing address
3661 S MIAMI AVE, SUITE 409, MIAMI, FL 33133-4236
(305) 854-5971
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1703
FL
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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