Individual
WAVERLY NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 HOLLIE ST, ATHENS, GA 30606-2543
(919) 348-0535
Mailing address
123 HOLLIE ST, ATHENS, GA 30606-2543
(919) 348-0535
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
ESN201004
GA
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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