Individual
STEPHANIE DUNLAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
299 COOPER RD STE B, LOGANVILLE, GA 30052-2579
(706) 250-1769
Mailing address
441 SADDLE SHOAL TRL, LAWRENCEVILLE, GA 30046-3188
(470) 403-3987
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
011124
GA
Other
Enumeration date
05/28/2022
Last updated
05/28/2022
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