Organization
MUSIK TO GROW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET LYNN BONER MT-BC (MUSIC THERAPIST/OWNER)
(770) 579-2554
Entity
Organization
Contact information
Practice address
1517 JOHNSON FERRY RD, MARIETTA, GA 30062-6493
(770) 579-2554
Mailing address
2998 CHRISTOPHERS CT, MARIETTA, GA 30062-1631
(770) 579-2554
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
MUT000077
GA
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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