Individual
MARY ALICE REED QUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
25989 FOX GRAPE RD, GREENSBORO, MD 21639-1611
(410) 714-9460
Mailing address
25989 FOX GRAPE RD, GREENSBORO, MD 21639-1611
(410) 714-9460
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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