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1720013634
MARY A BOUTSELIS
UNIVERSITY PARK, PA
NPI
1720013634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PA PS005233L)
Enumeration Date
2006-07-11
Last Update Date
2007-07-08
Business Address
-- MARY A BOUTSELIS
314 MOORE BUILDING
UNIVERSITY PARK, PA 16802
Phone number: 814-865-2191
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Mailing Address
-- MARY A BOUTSELIS
314 MOORE BUILDING
UNIVERSITY PARK, PA 16802
Phone number: 814-865-2191
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