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Individual

REBECCA WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT-BC

Contact information

Practice address
1669 W MAPLE RD, BIRMINGHAM, MI 48009-1230
(248) 646-3347
Mailing address
1669 W MAPLE RD, BIRMINGHAM, MI 48009-1230
(248) 909-3675

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
225A00000X
MI
Enumeration date
05/28/2009
Last updated
11/23/2010
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