Individual
MARY FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
1669 W MAPLE RD, BIRMINGHAM, MI 48009-1230
(248) 646-3347
Mailing address
40 E CROSS ST APT 7, YPSILANTI, MI 48198-2830
(248) 259-9817
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
F626587108445
MI
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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