Individual
CAITLYN DURBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
10106 294TH AVE, TREVOR, WI 53179-9378
(262) 206-1719
Mailing address
10106 294TH AVE, TREVOR, WI 53179-9378
(262) 206-1719
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
11656
WI
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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