Individual
MARY BETH MOUNTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
428 SHREWSBURY ST, CHARLESTON, WV 25301-1701
(304) 533-4788
Mailing address
428 SHREWSBURY ST, CHARLESTON, WV 25301-1701
(304) 533-4788
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2003-1135
WV
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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