Individual
MRS. KRYSTAL LEIGH CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
19720 MOUTH OF MONOCACY RD, DICKERSON, MD 20842-9519
(301) 461-8096
Mailing address
19720 MOUTH OF MONOCACY RD, DICKERSON, MD 20842-9519
(301) 461-8096
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
225A00000X
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2015
Last updated
06/24/2022
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