Individual
MARJORIE YVONNE BAER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
114 GRIFFIN ST, GRANTVILLE, GA 30220-2051
(678) 576-6530
Mailing address
PO BOX 183, GRANTVILLE, GA 30220-0183
(678) 576-6530
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002407
GA
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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