Athena Mask, MT-BC

NPI #1952935454 in Longview, Texas

Provider Information

NPI Number: 1952935454
Entity Type: Individual
Name: Athena Mask, MT-BC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Music Therapist
Credential: MT-BC
Enumeration Date: Feb 24, 2020
Last Updated: Feb 24, 2020

Practice Location

Address: 2455 N EASTMAN RD
City: Longview
State: Texas
ZIP Code: 75605-4057
Phone: (903) 315-9338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Music Therapist	225A00000X	Primary

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