Individual
LAURA FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
16620 40TH AVE N, PLYMOUTH, MN 55446-2687
(563) 249-5781
Mailing address
16620 40TH AVE N, PLYMOUTH, MN 55446-2687
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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