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Individual

LAUREN R. WADSWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
120 W WASHINGTON ST, LEWISBURG, WV 24901-1339
(304) 667-2195
Mailing address
120 W WASHINGTON ST, LEWISBURG, WV 24901-1339
(304) 667-2195

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1998-0127
WV

Other

Enumeration date
10/02/2015
Last updated
10/02/2015
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