Hereth-Mulloy, Mary Marguerite

Hereth-Mulloy, Mary Marguerite is an individual health care provider with primary practice located at 6655 Sykesville Rd Solomon D, Sykesville MD 21784-7966. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hereth-Mulloy, Mary Marguerite can be contacted via phone (410) 970-7220.

Contact Information

Primary practice address
6655 Sykesville Rd Solomon D Sykesville MD 21784-7966
Phone: (410) 970-7220
Fax: (410) 970-7313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 06379 Maryland

Profile Details

NPI number 1245360346
LBN Legal business name Hereth-Mulloy, Mary Marguerite
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated May 13th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245360346 NPPES
Maryland MEDICAID 0191884 00
Maryland Other 06379

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