Individual
MISS CARLY JOY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC, LP-MT
Contact information
Practice address
470 CLOVER ST, ATHENS, GA 30606-2608
(706) 380-3043
Mailing address
470 CLOVER ST, ATHENS, GA 30606-2608
(706) 380-3043
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
16434
GA
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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