Moonen, Mary B

Moonen, Mary B is an sole proprietor health care provider with primary practice located at 3653 Cortez Road West Suite 110A, Bradenton FL 34210. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moonen, Mary B can be contacted via phone (941) 962-6784.

Contact Information

Primary practice address
3653 Cortez Road West Suite 110A Bradenton FL 34210
Phone: (941) 962-6784
Fax: (941) 753-8471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW8791 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 3413 Florida

Profile Details

NPI number 1780643072
LBN Legal business name Moonen, Mary B
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Oct 11th, 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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