Individual
MARGO VANDERVEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 OLD HICKORY ROAD, WOODSTOCK, GA 30188
(404) 372-1977
Mailing address
605 OLD HICKORY ROAD, WOODSTOCK, GA 30188
(404) 372-1977
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0005998
GA
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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