Individual
SAMANTHA MARIE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
2001 TINA CT, SCHENECTADY, NY 12303-5343
(410) 804-0439
Mailing address
2001 TINA CT, SCHENECTADY, NY 12303-5343
(410) 804-0439
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
14032
NY
Other
Enumeration date
11/25/2018
Last updated
11/25/2018
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