Individual
KAYLA D'ANN MINCHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
3310 CIMMARON AVE, MIDLAND, TX 79707-5802
(432) 301-4284
Mailing address
3310 CIMMARON AVE, MIDLAND, TX 79707-5802
(432) 301-4284
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
08004
TX
Other
Enumeration date
12/18/2012
Last updated
01/22/2013
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