Individual
HOLLY J DETHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
216 S PAINT ST, CHILLICOTHE, OH 45601-3827
(740) 701-3274
Mailing address
216 S PAINT ST, CHILLICOTHE, OH 45601-3827
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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