Individual
MS. BEVERLY JANE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MT-BC
Contact information
Practice address
302 2ND AVE NE, BARNESVILLE, MN 56514-3438
(218) 354-7494
Mailing address
302 2ND AVE NE, BARNESVILLE, MN 56514-3438
(218) 354-7494
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
07006
CA
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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