Individual
CYNTHIA A GERVAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8251 N FAWN LAKE RD NE, STACY, MN 55079-3201
(612) 817-0440
Mailing address
8251 N FAWN LAKE RD NE, STACY, MN 55079-3201
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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