Individual
DR. MARY D. SQUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3454 OAK ALLEY CT, SUITE 305, TOLEDO, OH 43606-1306
(419) 534-2468
(419) 534-2397
Mailing address
3454 OAK ALLEY CT, SUITE 305, TOLEDO, OH 43606-1306
(419) 534-2468
(419) 534-2397
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4955
OH
103T00000X
Psychologist
6301010437
MI
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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