Individual
KELLY KWOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13934 N 59TH AVE STE 160, GLENDALE, AZ 85306-4168
(480) 935-0614
Mailing address
13934 N 59TH AVE STE 160, GLENDALE, AZ 85306-4168
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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