Individual
MARY ADDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1639 FORUM PL STE 7, WEST PALM BEACH, FL 33401-2330
(561) 712-8821
Mailing address
154 VISCAYA AVE, ROYAL PALM BEACH, FL 33411-1004
(561) 253-4386
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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