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1063018612
EMILIE SLACK
SOUTHLAKE, TX
NPI
1063018612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT20142153)
Enumeration Date
2020-12-09
Last Update Date
2020-12-09
Business Address
EMILIE SLACK RBT
2425 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092-6674
Phone number: 817-442-0222
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Mailing Address
EMILIE SLACK RBT
2425 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092-6674
Phone number: 817-442-0222
Copy
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