Individual
MISS MADDYSON CEASAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 WILLIAMSBURG ST STE 127, LAKE CHARLES, LA 70605-5719
(337) 376-0136
Mailing address
127 WILLIAMSBURG ST BLDG E, LAKE CHARLES, LA 70605-5719
(337) 376-0136
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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