Individual
MS. CAITLIN BRODERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
909 N. HERMITAGE AVE. #2, CHICAGO, IL 60622
(323) 627-8895
Mailing address
909 N HERMITAGE AVE # 2, CHICAGO, IL 60622-5003
(323) 627-8895
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
07513
CA
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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