Individual
CLARISSA BETH FOLLMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1975 W CHURCH RIDGE DR, WASILLA, AK 99654-2102
(401) 203-3110
Mailing address
1975 W CHURCH RIDGE DR, WASILLA, AK 99654-2102
(401) 203-3110
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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