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1033621438
JENNIFER LONG
SOUTHLAKE, TX
NPI
1033621438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX 1742256)
Enumeration Date
2017-10-26
Last Update Date
2017-10-26
Business Address
JENNIFER LONG
2425 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092-6675
Phone number: 817-442-0222
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Mailing Address
JENNIFER LONG
2425 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092-6675
Phone number: 817-442-0222
Copy
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