Individual
CLARISSA YVONNE LESUEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 CHASTAIN MEADOWS PKWY NW STE 200, KENNESAW, GA 30144-5881
(510) 422-6311
Mailing address
1615 COBB PKWY N APT 2007, MARIETTA, GA 30062-2476
(843) 254-6087
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
07/30/2022
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