Individual
MRS. PAULA WILSON MICOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.B.T
Contact information
Practice address
1083 3RD AVENUE DR NW, HICKORY, NC 28601-4854
(828) 855-1711
Mailing address
1083 3RD AVENUE DR NW, HICKORY, NC 28601-4854
(828) 855-1711
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMBT #15614
NC
Other
Enumeration date
02/04/2017
Last updated
02/04/2017
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