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Individual

ADRIENNE DASHAWN ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1017 LOCKBERRY CT, CLAYTON, NC 27520-3784
(336) 553-8624
Mailing address
1017 LOCKBERRY CT, CLAYTON, NC 27520-3784
(336) 553-8624

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9058
NC

Other

Enumeration date
10/15/2011
Last updated
10/15/2011
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