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1053023531
KATHRYN LEANDRA HEISE
DOTHAN, AL
NPI
1053023531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MO 21-192158)
Enumeration Date
2022-12-16
Last Update Date
2022-12-16
Business Address
KATHRYN LEANDRA HEISE RBT
112 ADRIS PL
DOTHAN, AL 36303-1997
Phone number: 334-618-3302
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Mailing Address
KATHRYN LEANDRA HEISE RBT
112 ADRIS PL
DOTHAN, AL 36303-1997
Phone number: 334-618-3302
Copy
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