Individual
CRYSTAL G DESHOTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3289 OSAGE TRL, CHURCH POINT, LA 70525-4762
(337) 427-3879
Mailing address
3289 OSAGE TRL, CHURCH POINT, LA 70525-4762
(337) 427-3879
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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