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1134828908
JENNIFER WAKEMAN
ROSWELL, GA
NPI
1134828908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-23-260134)
Enumeration Date
2023-03-01
Last Update Date
2023-05-15
Business Address
JENNIFER WAKEMAN
1275 MINHINETTE DR
ROSWELL, GA 30075-3637
Phone number: 877-288-4760
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Mailing Address
JENNIFER WAKEMAN
PO BOX 2567
AUGUSTA, GA 30903-2567
Phone number: 706-842-5330
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