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Individual
ELIZABETH BURDICK
Active
Individual
ELIZABETH BURDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
12695
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12695
MUSIC THERAPY BOARD CERTIFICATION
—
Enumeration date
12/07/2016
Last updated
12/07/2016
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