Individual
LARISSA MRAD-CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
478 COLUMBIA INDUSTRIAL BLVD, EVANS, GA 30809-6127
(706) 437-0505
Mailing address
478 COLUMBIA INDUSTRIAL BLVD, EVANS, GA 30809-6127
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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