Individual
ALICIA CAROL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
3750 E 107TH AVE, THORNTON, CO 80233
(720) 249-6105
Mailing address
3750 E 107TH AVE, THORNTON, CO 80233
(720) 249-6105
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
11705
CO
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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