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Individual

MRS. KATHLEEN MARIE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MT

Contact information

Practice address
505 NEW RD SUITE 5, SOMERS POINT, NJ 08244
(609) 601-9272
(609) 601-9273
Mailing address
26 BUCKNELL RD, SOMERS POINT, NJ 08244
(609) 204-4420
(609) 601-9273

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14223200
NJ

Other

Enumeration date
02/12/2007
Last updated
07/08/2007
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