Individual
KATIE FITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
912 W BROADMOOR ST, PEORIA, IL 61614-3410
(309) 826-2689
Mailing address
912 W BROADMOOR ST, PEORIA, IL 61614-3410
(309) 826-2689
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
10765
IL
Other
Enumeration date
06/28/2015
Last updated
06/28/2015
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