Individual
MIA LYNN CELLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPMT, MT-BC
Contact information
Practice address
9880 HICKORY FLAT HWY, WOODSTOCK, GA 30188-3081
(770) 687-2542
(770) 783-5049
Mailing address
215 FERNWOOD PL, WOODSTOCK, GA 30188-6242
(404) 402-6190
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
MUT000209
GA
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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