Individual
MS. STEPHANIE A JETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT, CLT
Contact information
Practice address
219 RACINE DR, SUITE C, WILMINGTON, NC 28403-8827
(910) 546-4301
(910) 392-3986
Mailing address
219 RACINE DR, SUITE C, WILMINGTON, NC 28403-8827
(910) 546-4301
(910) 392-3986
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
08862
NC
Other
Enumeration date
07/03/2009
Last updated
07/03/2009
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