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Individual

DR. AUGUSTINE LANSANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, DMIN, PH.D.

Contact information

Practice address
5447 W ADDISON ST, CHICAGO, IL 60641-3203
(412) 853-2586
Mailing address
6236 N HOYNE AVE APT AB, CHICAGO, IL 60659-3023
(412) 853-2586

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BHOO4017
PA

Other

Enumeration date
07/31/2023
Last updated
07/31/2023
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