Individual
KELLY JO LOESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC, WMTR
Contact information
Practice address
1125 JAMES DR, HARTLAND, WI 53029-8310
(262) 367-6663
Mailing address
W156N10531 JEFFERSON LN, GERMANTOWN, WI 53022-4123
(414) 651-4432
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
82-38
WI
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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