Individual
ERIN MARJORIE POTTER FAILE
Active
Sole proprietor
Yes
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
12060 ETRIS RD # 200, ROSWELL, GA 30075-1463
(678) 701-1203
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
MUT000127
GA
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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