ATHENA MASK

LONGVIEW, TX
NPI1952935454
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225A00000X Music Therapist
(Licence: TX  14101)
Enumeration Date2020-02-24
Last Update Date2020-02-24
Business Address
ATHENA MASK MT-BC
2455 N EASTMAN RD
LONGVIEW, TX 75605-4057
Phone number: 903-315-9338
Mailing Address
ATHENA MASK MT-BC
408 E SOUTH ST APT 2
KILGORE, TX 75662-2552
Phone number: 903-315-9338