| NPI | 1871947150 |
|---|---|
| Former Name | MARY DENISE CEDERBURG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122745) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 21684) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2020-12-22 |