Individual
KOMLANTSE MEDAKPE GOSSOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBA
Contact information
Practice address
376 MARGARET ST APT B-21, PLATTSBURGH, NY 12901-5015
(514) 243-1354
Mailing address
PO BOX 2141, PLATTSBURGH, NY 12901-0268
(514) 243-1354
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000169
NY
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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