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1114682374
LATANGIE LAWLIS
AUGUSTA, GA
NPI
1114682374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA 21165403)
Enumeration Date
2021-11-03
Last Update Date
2022-10-06
Business Address
LATANGIE LAWLIS RBT
1212 AUGUSTA WEST PKWY
AUGUSTA, GA 30909-1808
Phone number: 706-826-2770
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Mailing Address
LATANGIE LAWLIS RBT
1212 AUGUSTA WEST PKWY
AUGUSTA, GA 30909-1808
Phone number: 706-826-2779
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