Individual
MARISSA CYNTHIA CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 BLANE LN, HINESVILLE, GA 31313-2121
(303) 330-8157
Mailing address
909 BLANE LN, HINESVILLE, GA 31313-2121
(303) 330-8157
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC008704
GA
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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