Individual
JENNIFER PRUDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
621 S CULLEN AVE, SUITE 118, EVANSVILLE, IN 47715-4137
(812) 491-9400
Mailing address
5199 SEQUOIA DR, NEWBURGH, IN 47630-2071
(317) 378-4526
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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