Provider Information for 1295036135
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Mrs. MARY ANNE COX LCSW
Sex: Female
NPI: 1295036135
Last Updated: 2010-11-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1295036135 | ||||||||
| Enumeration Date | 2010-11-09 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 41 PERU, NY 12972-0041 United States Phone: 518-643-6894 | Fax:518-643-8709 | ||||||||
| Primary Practice Address | 13 ELM ST PERU COMMUNITY CHURCH PERU, NY 12972 United States Phone: 518-643-6894 | Fax:518-643-8709 | ||||||||
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