Individual
MRS. MARY E BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
815 W. PLEASANT STREET, FREEPORT, IL 61032
(815) 238-7570
Mailing address
815 W PLEASANT ST, FREEPORT, IL 61032-4926
(815) 238-7570
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.010841
IL
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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