Individual
LAURA FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
4652 COLFAX AVE APT 1, NORTH HOLLYWOOD, CA 91602-1070
(616) 733-3559
Mailing address
4652 COLFAX AVE APT 1, NORTH HOLLYWOOD, CA 91602-1070
(616) 733-3559
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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