Individual
CAROLYN K STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6226 COMMERCIAL WAY, WEEKI WACHEE, FL 34613-6325
(352) 597-8996
(352) 597-2809
Mailing address
12257 PEACEFUL AVE, WEEKI WACHEE, FL 34614-1906
(352) 597-8996
(352) 597-2809
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA17146
FL
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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