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Individual

MS. BRENNA TATIANA LIEBOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MT-BC, WMTR

Contact information

Practice address
6520 W LAYTON AVE, SUITE 201, GREENFIELD, WI 53220-4572
(262) 682-3223
Mailing address
6520 W LAYTON AVE, SUITE 201, GREENFIELD, WI 53220-4572
(262) 682-3223

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
86-038
WI

Other

Enumeration date
05/24/2007
Last updated
10/05/2016
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