Individual
KATHERINE STICKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC, NMT
Contact information
Practice address
1100 LAKE ST # LL65, OAK PARK, IL 60301-1015
(708) 620-2373
Mailing address
547 BROOKSIDE DR APT F, WESTMONT, IL 60559-2727
(207) 838-4401
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
15974
IL
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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