Individual
DONELLE JULENE MCGAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2641 E COLLEGE AVE APT 504, DECATUR, GA 30030-3316
(678) 670-7179
Mailing address
2641 E COLLEGE AVE APT 504, DECATUR, GA 30030-3316
(678) 670-7179
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
008830
GA
Other
Enumeration date
09/02/2020
Last updated
10/07/2020
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