Individual
CRYSTAL LILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
1002 LEGACY RANCH RD STE 104, WAXAHACHIE, TX 75165-1293
(214) 399-8849
Mailing address
PO BOX 2074, WAXAHACHIE, TX 75168-2074
(972) 375-0561
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
15548
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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