Individual
TANIA NICOLE GAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
24 VILLAGE PL, HATBORO, PA 19040-2049
(443) 504-5850
Mailing address
24 VILLAGE PL, HATBORO, PA 19040-2049
(443) 504-5850
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
13574
PA
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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