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1083332027
CRAIG SHANNON WATERS
JOHNS CREEK, GA
NPI
1083332027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-08-16
Last Update Date
2022-08-16
Business Address
CRAIG SHANNON WATERS
7360 MCGINNIS FERRY RD STE 100
JOHNS CREEK, GA 30024-7810
Phone number: 866-523-4268
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Mailing Address
CRAIG SHANNON WATERS
DEPT LA 22763
PASADENA, CA 91185-4268
Phone number: 866-523-4268
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