Individual
AVA MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
1100 LAKE STREET, SUITE 100C, OAK PARK, IL 60301
(708) 620-2373
Mailing address
1100 LAKE ST STE 100C, OAK PARK, IL 60301-1028
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
13846
IL
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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