Individual
STANASHA TOCCOA GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
7527 ROSWELL RD # 566561, ATLANTA, GA 30350-4838
(404) 267-7878
(404) 981-3603
Mailing address
7527 ROSWELL RD # 566561, ATLANTA, GA 30350-4838
(404) 267-7878
(404) 891-3603
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014308
GA
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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