Individual
CASSONDRA DILWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
923 COLLIER RD NW, ATLANTA, GA 30318-2533
(678) 653-3107
Mailing address
923 COLLIER RD NW, ATLANTA, GA 30318-2533
(678) 653-3107
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT001125
GA
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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