Individual
MS. CAROLYN LAVARIS WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
622 N GORDON CIR, HAPEVILLE, GA 30354-1055
(404) 202-8891
Mailing address
622 N GORDON CIR, HAPEVILLE, GA 30354-1055
(404) 202-8891
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT004059
GA
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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