Individual
LYSA WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1606 DELLWOOD CT, GRAND FORKS, ND 58201-5235
(218) 289-1204
Mailing address
PO BOX 25, NORTHWOOD, ND 58267-0025
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
2012-05
ND
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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