Individual
MARISSA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
196 QUEEN ST, SOUTHINGTON, CT 06489-1901
(860) 518-5557
Mailing address
1233 MATIANUCK AVE, WINDSOR, CT 06095-3292
(860) 539-1001
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
14742
CT
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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