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1013512789
MAMIE HEAD
DECATUR, GA
NPI
1013512789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: GA 1-20-46113)
Enumeration Date
2020-12-01
Last Update Date
2020-12-01
Business Address
MAMIE HEAD
1894 LUDOVIE LN
DECATUR, GA 30033-1044
Phone number: 678-626-0557
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Mailing Address
MAMIE HEAD
1894 LUDOVIE LN
DECATUR, GA 30033-1044
Phone number: 678-626-0557
Copy
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