Individual
MENA KILLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
113 FREEZE AVE NW, CONCORD, NC 28025-4518
(984) 298-0834
Mailing address
113 FREEZE AVE NW, CONCORD, NC 28025-4518
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22351
NC
Other
Enumeration date
01/11/2025
Last updated
01/11/2025
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