Individual
SUSAN KATHLEEN DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7130 MISTRAL WAY, COLUMBIA, MD 21045
(410) 312-9922
Mailing address
6725 RIDGECREST RD, NEW MARKET, MD 21774-6663
(301) 448-9943
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M06073
MD
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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