Individual
MRS. MIRANDA MAY EDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
11650 DOWNES ST NE, LOWELL, MI 49331-9489
(616) 897-7842
(616) 897-7054
Mailing address
11650 DOWNES ST NE, LOWELL, MI 49331-9489
(616) 897-7842
(616) 897-7054
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
225A00000X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05865
CBMT IDENTIFICATION
MI
Enumeration date
10/19/2010
Last updated
10/19/2010
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