Individual
JENNIFER CATHERINE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
1530 CHURCH ST, WAUWATOSA, WI 53213-2516
(715) 252-6428
Mailing address
1530 CHURCH ST, WAUWATOSA, WI 53213-2516
(715) 252-6428
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
08167
WI
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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