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1033486063
STACY LAUDERDALE
BRICK, NJ
NPI
1033486063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-11-8490)
Enumeration Date
2011-11-18
Last Update Date
2011-11-18
Business Address
Dr. STACY LAUDERDALE Ph.D.
325 HERBERTSVILLE RD
BRICK, NJ 08724-1713
Phone number: 732-836-3322
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Mailing Address
Dr. STACY LAUDERDALE Ph.D.
325 HERBERTSVILLE RD
BRICK, NJ 08724-1713
Phone number: 732-836-3322
Copy
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