Individual
RONGRONG SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
2867 S WALNUT STREET PIKE, BLOOMINGTON, IN 47401-8402
(845) 464-6978
Mailing address
2867 S WALNUT STREET PIKE, BLOOMINGTON, IN 47401-8402
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
11858
NY
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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