Individual
KIAE WAITE-GOLLAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC, NMT
Contact information
Practice address
8310 EWING HALSELL DR, SAN ANTONIO, TX 78229-3715
(210) 616-0885
Mailing address
6418 ECKHERT RD APT 7205, SAN ANTONIO, TX 78240-3153
(361) 816-4131
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
13280
TX
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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