Individual
MS. KATHLEEN ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
408 W SUMMIT ST, ANN ARBOR, MI 48103-3254
(734) 668-8146
Mailing address
408 W SUMMIT ST, ANN ARBOR, MI 48103-3254
(734) 668-8146
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
05029
MD
Other
Enumeration date
11/28/2008
Last updated
11/28/2008
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