Individual
MR. COLLIN WESLEY WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT-BC
Contact information
Practice address
12060 ETRIS RD, SUITE 200, ROSWELL, GA 30075-1463
(678) 701-1203
(678) 461-8530
Mailing address
704 THE OAKS, CLARKSTON, GA 30021-1242
(662) 617-1522
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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