Individual
ELLEN MCQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
330 GLENDALE AVE NE, ATLANTA, GA 30307-2125
(404) 378-9817
Mailing address
330 GLENDALE AVE NE, ATLANTA, GA 30307-2125
(404) 378-9817
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT003342
GA
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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