Individual
MRS. KEARSTI-RAE E KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
223 GURLER ST, DEKALB, IL 60115-3631
(815) 441-9889
Mailing address
223 GURLER ST, DEKALB, IL 60115-3631
(815) 441-9889
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
11834
IL
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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