Individual
MRS. MADGE L MACHARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
5659 CEDAR DR, SAINT CLOUD, MN 56303-0713
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
07187
KS
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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