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Individual

MCKENNA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MT-BC

Contact information

Practice address
16620 40TH AVE N, MINNEAPOLIS, MN 55446-2687
(262) 875-1116
Mailing address
16620 40TH AVE N, MINNEAPOLIS, MN 55446-2687
(262) 875-1116

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
16094
IL

Other

Enumeration date
12/16/2020
Last updated
12/16/2020
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