Individual
KIMBERLY MARIE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
122 WINDSOR AVE, FLOOR 2, MERIDEN, CT 06451-2900
(860) 518-5557
Mailing address
6 ORANGE RD, MIDDLETOWN, CT 06457-4914
(512) 633-6450
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
CT
Other
Enumeration date
01/03/2013
Last updated
01/23/2013
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