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1003579723
MARJORIE EASTLACK
FRISCO, TX
NPI
1003579723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: TX 5631)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-10-19
Last Update Date
2023-02-06
Business Address
MARJORIE EASTLACK
8501 WADE BLVD STE 1250
FRISCO, TX 75034-5894
Phone number: 972-312-8733
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Mailing Address
MARJORIE EASTLACK
6105 WINDCOM CT STE 400
PLANO, TX 75093-9003
Phone number: 972-312-8733
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