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Individual

JEONGYEON HWANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MT-BC

Contact information

Practice address
25 W INDEPENDENCE WAY STE B, KINGSTON, RI 02881-1127
(401) 783-4810
Mailing address
PO BOX 5333, WAKEFIELD, RI 02880-5333
(401) 783-4810

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
MUS00027
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MUS00027
RHODE ISLAND DEPARTMENT OF HEALTH
RI
Enumeration date
09/29/2022
Last updated
09/29/2022
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