Individual
CHARLOTTE DENISE CENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
110 W COURT ST, PARAGOULD, AR 72450-4336
(479) 502-6280
Mailing address
8358 HIGHWAY 412 W, PARAGOULD, AR 72450-9786
(479) 502-6280
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9186
AR
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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