Individual
MADELINE RAE FANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
11520 S 39TH ST APT 15, BELLEVUE, NE 68123-1278
(402) 580-0706
Mailing address
11520 S 39TH ST APT 15, BELLEVUE, NE 68123-1278
(402) 580-0706
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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