Individual
MRS. LAURA BETH BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
4322 OAK TREE TRL, FENTON, MI 48430-9162
(810) 813-0036
Mailing address
4322 OAK TREE TRL, FENTON, MI 48430-9162
(810) 813-0036
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
12418
MI
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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