Individual
KAITLIN RENEE LAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
2101 FILLMORE ST, FORT WAYNE, IN 46802-5014
(724) 317-8489
Mailing address
95 DEVAN AVE, UNIONTOWN, PA 15401-4677
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
05/29/2013
Last updated
09/02/2021
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