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1073224945
EMMA GRANTHAM
SHREVEPORT, LA
NPI
1073224945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: LA RBT-22-248092)
Enumeration Date
2022-12-12
Last Update Date
2022-12-12
Business Address
EMMA GRANTHAM
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 318-795-3388
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Mailing Address
EMMA GRANTHAM
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 318-795-3388
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