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Individual

ALLISON THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT-BC

Contact information

Practice address
1856 RIVER RUN TRL, APT D, FORT WAYNE, IN 46825-5986
(260) 409-8246
Mailing address
5826 LEESVILLE PL, FORT WAYNE, IN 46835-4468
(604) 098-2462

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
09544
IN

Other

Enumeration date
07/07/2011
Last updated
10/07/2020
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