Individual
MICHELLE MARIE WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
5 MARY ST, GREENVILLE, SC 29611-5340
(301) 215-1252
Mailing address
5 MARY ST, GREENVILLE, SC 29611-5340
(301) 215-1252
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/22/2013
Last updated
05/20/2021
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