Individual
FAITH DUCKWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 PINE ST NW UNIT 205, ATLANTA, GA 30313-4534
(678) 668-9544
Mailing address
115 PINE ST NW UNIT 205, ATLANTA, GA 30313-4534
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT009215
GA
Other
Enumeration date
09/15/2020
Last updated
10/28/2020
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