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Individual

MRS. MERYL BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MM, MT-BC, DT

Contact information

Practice address
705 E LINCOLN ST STE 209, NORMAL, IL 61761-6406
(309) 212-6204
Mailing address
17 LONG COVE CT, BLOOMINGTON, IL 61704-2902
(309) 212-6204

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
MB82230108P
IL
225A00000X
Music Therapist
Primary

Other

Enumeration date
11/29/2007
Last updated
07/31/2024
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