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1053183434
SHANNA NICOLE SOUTHERN
DECATUR, AL
NPI
1053183434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AL RBT-23-299302)
Enumeration Date
2023-10-27
Last Update Date
2023-10-27
Business Address
SHANNA NICOLE SOUTHERN
1690 BELTLINE RD SW STE B
DECATUR, AL 35601-5505
Phone number: 256-621-2244
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Mailing Address
SHANNA NICOLE SOUTHERN
1690 BELTLINE RD SW STE B
DECATUR, AL 35601-5505
Phone number: 256-621-2244
Copy
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