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MRS. CRYSTAL MARIE WISSINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
8344 MARY LEE LN, LAUREL, MD 20723-1192
(512) 299-3371
Mailing address
8344 MARY LEE LN, LAUREL, MD 20723-1192
(512) 299-3371

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8182
MD

Other

Enumeration date
01/13/2012
Last updated
01/13/2012
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