Individual
MS. ALEXIS GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
4039 80TH ST STE A, KENOSHA, WI 53142-4959
(262) 648-4827
Mailing address
4039 80TH ST STE A, KENOSHA, WI 53142-4959
(262) 648-4827
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
202-38
WI
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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