MISS Stacey Nichole Lusk, MT-BC, DT

NPI #1528101706 in St Charles, Illinois

Provider Information

NPI Number: 1528101706
Entity Type: Individual
Name: MISS Stacey Nichole Lusk, MT-BC, DT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Music Therapist
Credential: MT-BC, DT
Enumeration Date: Feb 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 40W310 LAFOX RD
Address 2: SUITE 1A
City: St Charles
State: Illinois
ZIP Code: 60175-6588
Phone: (630) 444-0077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Music Therapist	225A00000X	Primary

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Organizations

Provider Name	Specialty	City
Creative Exchange Music Therapy Clinic, Ltd	Music Therapist	Westchester	AI Deep Dive

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