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1114410123
CLIFFORD J BLANC
MC LEAN, VA
NPI
1114410123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: VA Rbt-18-56593)
Enumeration Date
2018-06-13
Last Update Date
2018-06-13
Business Address
CLIFFORD J BLANC
1651 OLD MEADOW RD STE 600
MC LEAN, VA 22102-4389
Phone number: 703-564-1662
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Mailing Address
CLIFFORD J BLANC
40 S VAN DORN ST APT D215
ALEXANDRIA, VA 22304-4214
Phone number: 508-818-1970
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