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1124516182
BRANDI CLARK
SAINT MARYS, GA
NPI
1124516182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-18-54167)
Enumeration Date
2018-04-25
Last Update Date
2018-04-25
Business Address
BRANDI CLARK
107 INDUSTRIAL DR STE E
SAINT MARYS, GA 31558-4436
Phone number: 912-324-5012
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Mailing Address
BRANDI CLARK
10175 FORTUNE PKWY UNIT 903
JACKSONVILLE, FL 32256-6755
Phone number: 904-538-0713
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