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Individual

MR. CHRISTIAN LAURITS NIELSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MT-BC

Contact information

Practice address
9908 STATE HIGHWAY 25 SW, WATERTOWN, MN 55388-0867
(952) 221-1857
(952) 955-3272
Mailing address
PO BOX 867, WATERTOWN, MN 55388-0867
(952) 221-1857
(952) 955-3272

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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