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Individual

MRS. JENNA L LEVY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, NMT

Contact information

Practice address
912 KILLIAN HILL RD SW STE 103, LILBURN, GA 30047-8976
(678) 358-1537
Mailing address
4081 CAMARON WAY, SNELLVILLE, GA 30039-8611
(678) 358-1537

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002154
GA

Other

Enumeration date
09/03/2025
Last updated
09/03/2025
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