Individual
KATELYN MARGARET LUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
2500 CABOT DR, LISLE, IL 60532-3711
(630) 864-3800
Mailing address
2500 CABOT DR, LISLE, IL 60532-3711
(630) 864-3800
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
17047
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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