Individual
MISS EMILY ROSE ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
165 FARR LN, QUEENSBURY, NY 12804-1996
(518) 409-5491
Mailing address
165 FARR LN, QUEENSBURY, NY 12804-1996
(518) 409-5491
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
16901
NY
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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