Individual
ELIZABETH BROOKE WICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT, MMP
Contact information
Practice address
1120 N BREAZEALE AVE, MOUNT OLIVE, NC 28365-1121
(919) 364-3523
Mailing address
1120 N BREAZEALE AVE, MOUNT OLIVE, NC 28365-1121
(919) 364-3523
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14099
NC
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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