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Individual

SUZANNE M. WILLOUGHBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCAT, MT-BC

Contact information

Practice address
503 OLD NORTH OCEAN AVE, PATCHOGUE, NY 11772-2472
(631) 447-5782
Mailing address
503 OLD NORTH OCEAN AVE, PATCHOGUE, NY 11772-2472
(631) 447-5782

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
001017-1
NY

Other

Enumeration date
12/10/2009
Last updated
12/10/2009
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