Individual
MRS. SHEENA S CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5613 NEWBERRY POINT DR, FLOWERY BRANCH, GA 30542-2756
(706) 525-1002
Mailing address
5613 NEWBERRY POINT DR, FLOWERY BRANCH, GA 30542-2756
(706) 525-1002
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT007465
GA
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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