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Carol Lacdawn Gaines, Massage Therapist

Massage Therapist in Snellville, GA. Individual provider (NPI-1).

NPI number1598918989
StatusActive
Last updated in NPPESOct 29, 2008

Details

NPI
1598918989
Entity type
Individual (NPI-1)
Name
Mrs. Carol Lacdawn Gaines
Credential
Massage Therapist
Sex
Female
Sole proprietor
No
Enumeration date
Oct 29, 2008
Last updated
Oct 29, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT000493GAYes

Practice location

3837 Laurel Crest Drive
Snellville, GA 30039

Phone 770-979-8869 · Fax 770-979-8869

Mailing address

3837 Laurel Crest Drive
Snellville, GA 30039

Phone 770-979-8869 · Fax 770-979-8869

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