Individual
JESSICA BRODLEY-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5450 GLENRIDGE DR, APARTMENT # 3T2, ATLANTA, GA 30342-4969
(912) 604-3605
Mailing address
5450 GLENRIDGE DRIVE NE, APARTMENT # 3T2, ATLANTA, GA 30342
(912) 604-3605
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
GA
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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