Provider Information for 1629050711
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Ms. MARYLOU FOSTER BIASOTTO LCSW
Sex: Female
NPI: 1629050711
Last Updated: 2017-01-09
Certification Date:
Certification Date:
Details
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NPI | 1629050711 | ||||||||
Enumeration Date | 2005-11-15 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 1521 CONCORD PIKE SUITE 103 WILMINGTON, DE 19803-3642 United States Phone: 302-428-0205 | Fax:302-428-1123 | ||||||||
Primary Practice Address | 25 OMEGA DR BLDG J NEWARK, DE 19713-6020 United States Phone: 302-428-0205 | Fax:302-428-1123 | ||||||||
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