Individual
MS. MARY KAY BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MM,MS,MT-BC
Contact information
Practice address
2375 SOUTH, 700 EAST ROAD, WHITESTOWN, IN 46075
(317) 760-3638
Mailing address
2375 S 700 E, WHITESTOWN, IN 46075-9605
(317) 769-3638
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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