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Individual

ERICA SUSANNE PRIVETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MT-BC

Contact information

Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
6964 COLEUS CT, JACKSONVILLE, FL 32244-5712
(904) 962-1717

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary

Other

Enumeration date
02/27/2026
Last updated
04/07/2026
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