Individual
TAYLOR RAE LUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPMT, MT-BC
Contact information
Practice address
1001 MACY DR, ROSWELL, GA 30076-6335
(706) 748-1941
Mailing address
100 HIGHLAND PARK TRL APT 602, SANDY SPRINGS, GA 30350-3389
(706) 748-1941
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
MUT000331
GA
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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