Individual
MRS. ANTOINETTE HUMPHREY MORRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
27 FALLBROOK AVE, DALLAS, PA 18612-1010
(570) 574-1707
Mailing address
27 FALLBROOK AVE, DALLAS, PA 18612-1010
(570) 574-1707
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
03937
PA
Other
Enumeration date
07/13/2010
Last updated
07/23/2010
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