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Individual

CLARISSA STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
690 FURNACE HILLS PIKE, LITITZ, PA 17543-8907
(717) 626-6288
Mailing address
690 FURNACE HILLS PIKE, LITITZ, PA 17543-8907
(717) 626-6288

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG011957
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
813753875
MASSAGE THERAPY
Enumeration date
11/16/2017
Last updated
11/16/2017
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