Individual
ELIZABETH SWAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1746 HEDINGTON CT, LAWRENCEVILLE, GA 30045-3721
(678) 770-5327
Mailing address
1746 HEDINGTON CT, LAWRENCEVILLE, GA 30045-3721
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT011031
GA
Other
Enumeration date
06/11/2016
Last updated
06/11/2016
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