Individual
KELLEY HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
MT-BC
Contact information
Practice address
400 6TH AVE SE, FARIBAULT, MN 55021-6343
(507) 384-6725
Mailing address
18351 KENYON AVE APT 313, LAKEVILLE, MN 55044-4748
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
17215
MN
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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