Individual
MRS. SUSAN M. GOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
401 WILLIAMS AVE, PICAYUNE, MS 39466-3948
(504) 717-3467
Mailing address
1616 W FOURTH AVE, PICAYUNE, MS 39466-3110
(504) 717-3467
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
LA 4325
LA
225700000X
Massage Therapist
Primary
LMT 1214
MS
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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