Individual
KEANDRA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
18288 N US HIGHWAY 41, LUTZ, FL 33549-4400
(813) 527-9638
Mailing address
3901 TURNBURY ST, VALRICO, FL 33596-7050
(813) 226-7055
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F226
—
FL
Enumeration date
11/23/2020
Last updated
11/23/2020
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