Individual
KRISTIANA MINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
2 PINE CONE CT, APT 112, BLOOMINGTON, IL 61704-4757
(309) 831-5545
Mailing address
2 PINE CONE CT, APT 112, BLOOMINGTON, IL 61704-4757
(309) 831-5545
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
09295
IL
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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