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1033987672
MICHELLE GREEN
PORT SAINT LUCIE, FL
NPI
1033987672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL BACB1021516)
Enumeration Date
2023-12-13
Last Update Date
2023-12-13
Business Address
MICHELLE GREEN
10272 S US HIGHWAY 1
PORT SAINT LUCIE, FL 34952-5615
Phone number: 772-872-6940
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Mailing Address
MICHELLE GREEN
985 SW EXCEL AVE
PORT SAINT LUCIE, FL 34953-6746
Phone number: 772-631-1817
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