Individual
DESTINY RAE BOYUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
847 5TH ST NW, ROCHESTER, MN 55901-2759
(507) 236-7793
Mailing address
847 5TH AVE NW, ROCHESTER, MN 55901
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
13029
MN
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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