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Individual

MRS. MAHLEAH LAVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT-BC

Contact information

Practice address
229 W VILLAGE LAKE DR, DERBY, KS 67037-2609
(316) 210-9186
Mailing address
229 W VILLAGE LAKE DR, DERBY, KS 67037-2609
(316) 210-9186

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
10057

Other

Enumeration date
12/29/2011
Last updated
07/19/2013
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