Individual
MARY ANN DUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
03045
MD
103TC0700X
Clinical Psychologist
Primary
PSY1717
DC
103TC0700X
Clinical Psychologist
PY3160
FL
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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