Individual
LOREN GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MT-BC
Contact information
Practice address
516 S OWEN ST, MOUNT PROSPECT, IL 60056-3943
(224) 628-8723
Mailing address
516 S OWEN ST, MOUNT PROSPECT, IL 60056-3943
(224) 628-8723
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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