Individual
TONI MIQUEL SHANINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC, LPMT
Contact information
Practice address
605 WEST AVE, GAINESVILLE, GA 30501-4247
(678) 936-4269
(770) 287-1932
Mailing address
605 WEST AVE, GAINESVILLE, GA 30501-4247
(678) 936-4269
(770) 287-1932
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
MUT000083
GA
Other
Enumeration date
01/31/2014
Last updated
07/31/2020
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