Individual
CHARLOTTE LIESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
496 OLD ROUTE 66, SAINT ROBERT, MO 65584-3728
(573) 246-6164
(818) 758-8015
Mailing address
21600 OXNARD ST, SUITE 1800, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
(818) 758-8015
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23766
MO
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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