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Individual

MRS. MELOU STEWART CLINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, SCMT, MT-BC/OTHE

Contact information

Practice address
1130 EAGLEWOOD LOOP, NORTH SALT LAKE, UT 84054
(801) 573-5665
Mailing address
1130 EAGLEWOOD LP, NORTH SALT LAKE, UT 84054
(801) 573-5665

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
9200391-4010
UT

Other

Enumeration date
10/17/2017
Last updated
10/17/2017
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