Individual
CORYN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
6620 ANGELLO CT, FORT WAYNE, IN 46835-1773
(260) 255-4502
Mailing address
6620 ANGELLO CT, FORT WAYNE, IN 46835-1773
(260) 255-4502
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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