Individual
MS. SUSAN LYNN GROSSER-MARCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
280 GRIFFIN ST, SUITE E, MCDONOUGH, GA 30253-3100
(770) 957-2399
Mailing address
280 GRIFFIN ST, MCDONOUGH, GA 30253-3100
(614) 330-0208
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.015709
OH
225700000X
Massage Therapist
MT005120
GA
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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