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Individual

MELISSA SORENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPMT, MT-BC

Contact information

Practice address
12060 ETRIS RD, ROSWELL, GA 30075-1463
(678) 701-1203
Mailing address
4651 SEARS RD, COLUMBUS, GA 31907-1793
(706) 566-7414

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
MUT000126
GA

Other

Enumeration date
07/15/2015
Last updated
07/22/2015
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