Individual
ADHASSA LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7090 SAMUEL MORSE DR, COLUMBIA, MD 21046-3442
(814) 308-4285
Mailing address
7090 SAMUEL MORSE DR STE 100, COLUMBIA, MD 21046-3444
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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