Individual
MS. MARSHETTA SHAVON BRAZLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
1119 OLD HUMBOLDT RD, JACKSON, TN 38305-1752
(731) 668-3888
(731) 668-1666
Mailing address
5300 MOSS HOLLOW CV, MEMPHIS, TN 38134-6305
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
07661
—
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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