Individual
JONNETTA J FOGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MM, MT-BC
Contact information
Practice address
1562 W EDINBURGH BND, BLOOMINGTON, IN 47403-8950
(812) 339-5589
Mailing address
1562 W EDINBURGH BND, BLOOMINGTON, IN 47403-8950
(812) 339-5589
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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