Individual
MS. GWENNEVER ELAINE BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1155 WOODSTOCK RD, ROSWELL, GA 30075-2231
(770) 640-6100
(770) 640-0600
Mailing address
827 MEADOW PL, MARIETTA, GA 30062-3565
(770) 640-6100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000462
GA
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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