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1063081768
ALYSSA KELLY
FREDERICK, MD
NPI
1063081768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: BACB583876)
Enumeration Date
2021-06-18
Last Update Date
2021-06-18
Business Address
Mrs. ALYSSA KELLY BACB583876
706 W PATRICK ST
FREDERICK, MD 21701-4030
Phone number: 301-882-7932
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Mailing Address
Mrs. ALYSSA KELLY BACB583876
10101 TWIN RIVERS RD APT 447
COLUMBIA, MD 21044-6542
Phone number: 916-708-6315
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