Individual
BROOKE MARIE WITHERITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 BUTTERFIELD TRAIL BLVD STE 111, EL PASO, TX 79906-4950
(610) 393-1610
Mailing address
3 BUTTERFIELD TRAIL BLVD STE 111, EL PASO, TX 79906-4950
(610) 393-1610
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
13826
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13826
CERTIFICATION BOARD FOR MUSIC THERAPISTS
TX
Enumeration date
11/26/2018
Last updated
11/26/2018
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