Individual
CYNTHIA J. LOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
1719 20TH AVE, AVON, IL 61415-9108
(309) 465-7703
Mailing address
1719 20TH AVE, AVON, IL 61415-9108
(309) 465-7703
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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