Individual
MRS. CHERYL LYNN COUSINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
82 SOUTH ST, BLUE HILL, ME 04614-6119
(207) 949-3627
Mailing address
47 POOR FARM RD, BROOKSVILLE, ME 04617-3439
(207) 949-3627
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT5252
ME
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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