Individual
EMILY DUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
158 S HOUSTON LAKE RD, STE 2, WARNER ROBINS, GA 31088-8017
(478) 202-7260
Mailing address
158 S HOUSTON LAKE RD, STE 2, WARNER ROBINS, GA 31088-8017
(478) 202-7260
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
MT009570
GA
225700000X
Massage Therapist
Primary
MT9570
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT009570
LICENSED MASSAGE THERAPST
GA
Enumeration date
09/06/2016
Last updated
09/06/2016
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