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Individual

MRS. SUSAN V BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
1346 ROUTE 739, DINGMANS FERRY, PA 18328-3423
(570) 686-4300
(579) 686-4302
Mailing address
1346 ROUTE 739, DINGMANS FERRY, PA 18328-3423
(570) 686-4300
(579) 686-4302

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26BT00059900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26BT00059900
NJ BOARD OF COSMOTOLOGY ATTORNEY GENERAL OFFICE
NJ
Enumeration date
12/09/2008
Last updated
12/09/2008
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