Individual
BRENNA LEA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7 MAIN ST, LISBON FALLS, ME 04252-1529
(207) 740-0068
Mailing address
10 NO NAME POND RD, SABATTUS, ME 04280-4030
(602) 908-4779
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4852
ME
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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