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Individual

MARISA L CASTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MT-BC

Contact information

Practice address
8310 EWING HALSELL DR, SAN ANTONIO, TX 78229-3715
(210) 616-0885
Mailing address
8310 EWING HALSELL DR, SAN ANTONIO, TX 78229-3715
(210) 616-0885

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16915
CERTIFICATION BOARD FOR MUSIC THERAPISTS
TX
Enumeration date
11/10/2021
Last updated
11/10/2021
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