Individual
MRS. MARY MAGDALINE CLARIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
649 MEYERS BAKER RD, LONDON, KY 40741-3006
(606) 878-0011
Mailing address
100 TOBIE LN, LONDON, KY 40741-2642
(606) 524-5738
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-0213
KY
Other
Enumeration date
04/25/2010
Last updated
04/25/2010
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