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Individual

ANGELICA CELESTE DELIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPMT, MT-BC

Contact information

Practice address
12060 ETRIS RD # 200, ROSWELL, GA 30075-1463
(678) 701-1203
Mailing address
210 SWEETGUM LN, STOCKBRIDGE, GA 30281-1072
(440) 454-3865

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
GA

Other

Enumeration date
11/18/2019
Last updated
03/30/2020
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