Individual
COURTNEY MARIE FORET-CHIASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 MILLBRANCH RD STE 1200, HATTIESBURG, MS 39402-1594
(601) 255-5264
Mailing address
3317 W 4TH ST APT 31, HATTIESBURG, MS 39401-5861
(985) 855-3362
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/15/2018
Last updated
09/15/2018
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