Individual
ELISE DAWN MCCUTCHEON
Active
Individual
ELISE DAWN MCCUTCHEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225700000X
Massage Therapist
Primary
17820
NC
Other
Enumeration date
11/15/2007
Last updated
09/09/2020
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