Individual
SUSAN GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1669 W MAPLE RD, BIRMINGHAM, MI 48009-1230
(248) 646-3347
Mailing address
1669 W MAPLE RD, BIRMINGHAM, MI 48009-1230
(248) 646-3347
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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