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1023840030
STACY RENAE FORSYTH
ATLANTA, GA
NPI
1023840030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CO RBT-24-337986)
Enumeration Date
2024-08-19
Last Update Date
2024-08-19
Business Address
STACY RENAE FORSYTH
3190 NORTHEAST EXPY NE STE 110
ATLANTA, GA 30341-5323
Phone number: 404-487-6005
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Mailing Address
STACY RENAE FORSYTH
2784 TALLAPOOSA HWY
CEDARTOWN, GA 30125-5855
Phone number: 253-656-2440
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