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Individual

LAETITIA FRANCES LUTTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT-BC

Contact information

Practice address
81 MARION ST, APT.1, SOMERVILLE, MA 02143-3951
(857) 544-6026
Mailing address
81 MARION ST, APT.1, SOMERVILLE, MA 02143-3951

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09335
CERTIFICATION BOARD FOR MUSIC THERAPISTS
Enumeration date
08/14/2011
Last updated
08/14/2011
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