Individual
MS. MARY ELIZABETH DOUCETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
204 OLD CALHOUN AVE, ST MATTHEWS, SC 29135-1213
(803) 747-2934
Mailing address
PO BOX 264, ST MATTHEWS, SC 29135-0264
(803) 747-2934
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10844
SC
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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