Individual
MACIE JO SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC, LPMT
Contact information
Practice address
9880 HICKORY FLAT HWY, WOODSTOCK, GA 30188-3081
(770) 687-2542
Mailing address
330 VILLA MAGNOLIA LN, ALPHARETTA, GA 30009-3231
(678) 372-0392
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
MUT000257
GA
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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