Individual
MARISSA CRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1808
(706) 826-2770
Mailing address
1212 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1808
(706) 826-2770
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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