Individual
MRS. TERESA MULLINAX STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMTB
Contact information
Practice address
1252 OVERBROOK DR, SUITE#14, GAFFNEY, SC 29341-1057
(864) 902-8009
Mailing address
593 PEELER CREEK RD, GAFFNEY, SC 29340-5228
(864) 902-8009
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
SC 3729
SC
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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