Individual
MRS. ELIZABETH G STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
211 ASHLEY ST E, SUITE 103, DOUGLAS, GA 31533-5306
(912) 383-4934
(912) 383-4934
Mailing address
211 ASHLEY ST E, SUITE 103, DOUGLAS, GA 31533-5306
(912) 383-4934
(912) 383-4934
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA33300
FL
225700000X
Massage Therapist
Primary
MT003853
GA
Other
Enumeration date
04/04/2007
Last updated
08/06/2012
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