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1033779871
ELLIE EDWARDS
CLARKSVILLE, TN
NPI
1033779871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-06-14
Last Update Date
2019-06-14
Business Address
ELLIE EDWARDS
941 PROFESSIONAL PARK DR
CLARKSVILLE, TN 37040
Phone number: 615-376-0034
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Mailing Address
ELLIE EDWARDS
6515 HOLT RD
NASHVILLE, TN 37211-6903
Phone number: 615-376-0034
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