Individual
CARINA STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
1500 E BROADWAY RD APT 2062, TEMPE, AZ 85282-1663
(480) 309-3497
Mailing address
1500 E BROADWAY RD APT 2062, TEMPE, AZ 85282-1663
(480) 309-3497
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
11228
AZ
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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