Individual
ELIZABETH BORESOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
8180 HALSEY ST, LENEXA, KS 66215-2723
(913) 314-8895
Mailing address
8180 HALSEY ST, LENEXA, KS 66215-2723
(913) 314-8895
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
11092
KS
Other
Enumeration date
04/21/2015
Last updated
09/05/2020
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