Individual
MARY MCGREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED. ED.S
Contact information
Practice address
1449 DAVIS DR, FORT MYERS, FL 33919-1007
(239) 555-1212
Mailing address
1449 DAVIS, FORT MYERS, FL 33919
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
02/23/2015
Last updated
06/17/2015
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