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Individual

MS. ILENE B MORRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3 HEATHER LN, MILLER PLACE, NY 11764-2012
(631) 474-4875
Mailing address
3 HEATHER LN, MILLER PLACE, NY 11764-2012
(631) 474-4875

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
05000102
NY

Other

Enumeration date
10/26/2006
Last updated
07/08/2007
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