Individual
EMILY STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 CEDAR ST, CARROLLTON, GA 30117-2403
(770) 500-9379
Mailing address
984 WAYSIDE RD, CARROLLTON, GA 30116-9064
(770) 500-9379
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014614
GA
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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