Individual
MRS. MALLORY REXROAD EVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
3316 CAMERON TRL, NORCROSS, GA 30092-3372
(404) 579-8070
Mailing address
3316 CAMERON TRL, NORCROSS, GA 30092-3372
(404) 579-8070
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
08015
—
Other
Enumeration date
01/18/2007
Last updated
04/14/2008
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