Individual
SUSAN ST GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
20 FENNO ST APT 10, WOLLASTON, MA 02170-2766
(508) 513-8679
Mailing address
20 FENNO ST APT 10, WOLLASTON, MA 02170-2766
(508) 513-8679
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13311
MA
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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