Individual
STACY JAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
1201 MILNE DR, LOCKPORT, IL 60441-3816
(262) 388-8155
Mailing address
1201 MILNE DR, LOCKPORT, IL 60441-3816
(262) 388-8155
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
15574
IL
Other
Enumeration date
06/15/2024
Last updated
06/15/2024
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