Individual
MARY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
4930 S HAGADORN RD, EAST LANSING, MI 48823-5312
(517) 355-7661
Mailing address
5524 JESSAEL DR, BATH, MI 48808-9791
(517) 745-4992
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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