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1043852924
MELANIE DENISE BLACKWELL
LEXINGTON, SC
NPI
1043852924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106E00000X Assistant Behavior Analyst
(Licence: SC 0-19-10121)
Enumeration Date
2019-10-12
Last Update Date
2019-10-12
Business Address
MELANIE DENISE BLACKWELL BCABA
460 PIN OAK DR
LEXINGTON, SC 29073-7916
Phone number: 803-369-7116
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Mailing Address
MELANIE DENISE BLACKWELL BCABA
460 PIN OAK DR
LEXINGTON, SC 29073-7916
Phone number:
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