Individual
TASIA DOCKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
12010 ETRIS RD, A-150, ROSWELL, GA 30075-1421
(678) 223-3987
Mailing address
1382 CHATLEY WAY, WOODSTOCK, GA 30188-5527
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
10500
NC
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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