Individual
MARISSA LYNAE KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 STRICKLIN RD, CULLMAN, AL 35057-3305
(256) 469-8493
(256) 255-2125
Mailing address
164 STRICKLIN RD, CULLMAN, AL 35057-3305
(256) 469-8493
(256) 255-2125
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-205878
AL
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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