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Individual

JUSTIN KORSUPSIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 GRIFFIN RD STE 5, PORTSMOUTH, NH 03801-7145
(800) 778-5560
(800) 778-5560
Mailing address
200 GRIFFIN RD STE 5, PORTSMOUTH, NH 03801-7145
(800) 778-5560
(800) 778-5560

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/03/2017
Last updated
07/21/2022
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