Individual
ANNE MARY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
10 WHIPPOORWILL TRL, MONROE, NY 10950-6934
(607) 422-6586
Mailing address
10 WHIPPOORWILL TRL, MONROE, NY 10950-6934
(607) 422-6586
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
14620
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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