Individual
STEPHANIE RENEE DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
111 FIRST ST W, DARIEN, GA 31305-9460
(912) 269-3152
Mailing address
111 FIRST ST W, DARIEN, GA 31305-9460
(912) 269-3152
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
010559
GA
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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