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1104666304
SAKETHA LAVENDER
DOUGLASVILLE, GA
NPI
1104666304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-05-28
Last Update Date
2024-05-28
Business Address
Mrs. SAKETHA LAVENDER
3294 GA -5
DOUGLASVILLE, GA 30135
Phone number: 470-870-2962
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Mailing Address
Mrs. SAKETHA LAVENDER
6453 SHORE DR
DOUGLASVILLE, GA 30135-3661
Phone number: 678-681-4015
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